Nima Afsari

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10148 Issued in OR

Practice address

11 Rossanley Dr
Medford, OR 97501-1713

Phone

(541) 779-4799

NPI assigned

Aug 6, 2014

Last updated

Oct 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Muir Hills Dental Partnership

  • General Practice Dentistry
  • Pleasant Hill, CA
  • NPI 1619744810
  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1447669171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROSSANLEY DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011713",
            "telephone_number": "541-779-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROSSANLEY DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011713",
            "telephone_number": "541-779-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSARI",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63741",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Physical Therapy and Orthopedic Rehabilitation PC
• Advanced Respiratory Diagnostic (Ards, LLC)
• Advanced Sleep Disorders Center
• Anshu Aery, MD
• Affordable Dentures & Implants - Medford, P.C.
• Leticia Parra Aguilar, SUPPORT STAFF
• Ara Aguirre
• Shane Michael Ahlstrom, M.D.
• Gerald B Ahmann, MD
• Zainab Olajumoke Aina-Shittu, MD

• General Practice Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.