Active NPI
Arash Elie, DDS
- General Practice Dentistry
- Burbank, CA
National Provider Identifier
1467568923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47470
- Practice address
- 1635 N Victory PL
Burbank, CA 91502-1645 - Phone
- (808) 565-0057
- Fax
- (818) 565-0047
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47470 | CA | Primary |
Addresses
Primary practice location
1635 N Victory PL
Burbank, CA 91502-1645
Mailing address
2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150827000618 | CA | Order and Referring Only - Dentist | 5799091385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47470 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elie Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Empire Dental Group
- Periodontics
- Burbank, CA
- NPI 1740389972
General Practice
-
dba Valencia
- General Practice Dentistry
- Valencia, CA
- NPI 1215022165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467568923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 MICHELLE",
"address_2": "2ND FLOOR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061009",
"telephone_number": "714-508-3600",
"fax_number": "714-368-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 N VICTORY PL",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021645",
"telephone_number": "808-565-0057",
"fax_number": "818-565-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIE",
"first_name": "ARASH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
- Martina Emilova Elenkova, DDS, MDS
- Sriram Venkata Eleswarapu, M.D., PH.D.
- Elevate Wound Care
- Eli Ahdoot, DO, Inc.
- Elie Dental Corporation (Empire Dental Group)
- Elitecare Home Health Inc
- Elizabeth Carr Family Therapy a Professional Corporation
- Guadalupe Elizarraras
- Cynthia Ellefson
- Ellette Medical Transportation
Sources for this page
- 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.