Individual provider Active NPI

Parissa Djafari, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1508309014
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44308 Issued in CA
Practice address
6900 Brockton Ave
Suite #2
Riverside, CA 92506-3819
Phone
(951) 682-2245
Fax
(951) 682-9169
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44308 CA Primary

Addresses

Primary practice location

6900 Brockton Ave
Suite #2
Riverside, CA 92506-3819

Mailing address

6900 Brockton Ave
Suite #2
Riverside, CA 92506-3819
Phone (951) 682-2245

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
44308CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Djafari, D.D.S., Inc. Past Accepting new patients

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1508309014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE",
            "address_2": "SUITE #2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063819",
            "telephone_number": "951-682-2245",
            "fax_number": "951-682-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE",
            "address_2": "SUITE #2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063819",
            "telephone_number": "951-682-2245",
            "fax_number": "951-682-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAFARI",
        "first_name": "PARISSA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.