Organization Active NPI

Nasir Tahghighi Dental Corp

  • Dentist
  • Woodland Hills, CA
National Provider Identifier
1477848976
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54030 Issued in CA
Legal business name
NASIR TAHGHIGHI DENTAL CORP
Practice address
22642 Waterbury St
Woodland Hills, CA 91364-4925
Phone
(818) 441-8898
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Nasir TahghighiNPI 1669518098
Title
President
Phone
(818) 441-8898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54030 CA Primary

Addresses

Primary practice location

22642 Waterbury St
Woodland Hills, CA 91364-4925

Mailing address

PO Box 614
Woodland Hills, CA 91365-0614
Phone (818) 441-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190722000027 CA Part B Supplier - Clinic/Group Practice 9537495106 Receives reassigned benefits from 2 practitioners
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1477848976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913650614",
            "telephone_number": "818-441-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22642 WATERBURY ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644925",
            "telephone_number": "818-441-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIR TAHGHIGHI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "TAHGHIGHI",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-441-8898",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.