Hanieh Barkhodari, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105768 Issued in CA

Practice address

671 Elmira Rd Ste 130
Vacaville, CA 95687-4655

Phone

(707) 215-5259

NPI assigned

Dec 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Usha Mantena Dental Corporation

  dba Vacaville Dentistry and Orthodontics Dental Group

  • Dentist
  • Vacaville, CA
  • NPI 1073976361
  NPD (past)
• Usha Mantena Dental Corporation

  dba Vacaville Dentistry and Orthodontics

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1093176380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1427645480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSEWOOD DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941272011",
            "telephone_number": "415-810-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 ELMIRA RD STE 130",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874655",
            "telephone_number": "707-215-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHODARI",
        "first_name": "HANIEH",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debashree Banerjee, MD
• Karen Barach
• Marie Lynn Barajas, LMFT
• Ralph Samuel Barbero
• John James Barclay, RPH
• Susan Penington Barnard, M.D.
• Camille Young Barnes, M.D.
• Ashley Lauren Barone, DOULA
• Alec Michael Barrett
• Caitlin Elizabeth Barron, RD

• Dentist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.