Individual provider Active NPI

Roxanne Salavati, DMD

  • Prosthodontics
  • Beverly Hills, CA
National Provider Identifier
1487217865
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
108147 Issued in CA
Practice address
436 N Roxbury Dr PH South-a
Beverly Hills, CA 90210-5019
Phone
(310) 276-8897
NPI assigned
Apr 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 108147 CA Primary

Addresses

Primary practice location

436 N Roxbury Dr PH South-a
Beverly Hills, CA 90210-5019

Mailing address

436 S Roxbury Dr PH a
Beverly Hills, CA 90212-4114
Phone (424) 421-4292

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

LicenseStateTypeSpecialty
108147CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rokhsareh Hassanzadehmahaei DMD Inc Prosthodontics CurrentSince Feb 12, 2023 Accepting new patients

Locations

436 N Roxbury Dr
Ph
Beverly Hills, CA 90210
Phone (310) 276-8897

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1487217865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S ROXBURY DR PH A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124114",
            "telephone_number": "424-421-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR PH SOUTH-A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105019",
            "telephone_number": "310-276-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAVATI",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "108147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.