Keyvan Bamshad, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

46553 Issued in CA

Practice address

19231 Victory Blvd Ste 458
Reseda, CA 91335-6368

Phone

(818) 345-6477

Fax

(818) 345-1509

NPI assigned

Jul 21, 2006

Sex

Male

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

Locations

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.

• Bamshad Dental Corporation

  • Dentist
  • Thousand Oaks, CA
  • NPI 1285111070
  NPD Authorized official
• Bamshad Dental Corporation

  • Dentist
  • Reseda, CA
  • NPI 1932667631
  NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447271218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 458",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356368",
            "telephone_number": "818-345-6477",
            "fax_number": "818-345-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 458",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356368",
            "telephone_number": "818-345-6477",
            "fax_number": "818-345-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMSHAD",
        "first_name": "KEYVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley T Baker, PHARM.D.
• Terri Marie Balady
• Milena Balazy, PHARMD
• Armine Balumyan, FNP
• Bamshad Dental Corporation
• Jeremy Jesus Alberto Barahona, PHARMD
• Patricia Barajas
• Svetlana Baranovsky, M.D.
• Vadim Baranovsky
• Myriam Alodia Barragan, CMI

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.