Active NPI
Nicole S Barkhordar, D.D.S.
- Endodontics
- Belmont, CA
National Provider Identifier
1477867224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 60046
- Practice address
- 562 Ralston Ave
Belmont, CA 94002-2832 - Phone
- (650) 654-1854
- Fax
- (650) 596-8248
- NPI assigned
- Aug 4, 2010
- Last updated
- Jul 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL11028 | MA | |
| Endodontics | 1223E0200X | 60046 | CA | Primary |
Addresses
Primary practice location
562 Ralston Ave
Belmont, CA 94002-2832
Mailing address
562 Ralston Ave
Belmont, CA 94002-2832
Phone (650) 766-1817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL11028 | MA | MD | Dentist |
| 60046 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Barkhordar DDS M.Ed Inc | Current | Accepting new patients |
Locations
562 Ralston Ave
Belmont, CA 94002
Phone (650) 654-1854
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Belmont, CA
- NPI 1740003417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1477867224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 RALSTON AVE",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022832",
"telephone_number": "650-766-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 RALSTON AVE",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022832",
"telephone_number": "650-654-1854",
"fax_number": "650-596-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKHORDAR",
"first_name": "NICOLE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL11028",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "60046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.