Individual provider Active NPI

Rahmat Alah Barkhordar, D.M.D.

  • Endodontics
  • Belmont, CA
National Provider Identifier
1518170299
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
33440 Issued in CA
Practice address
562 Ralston Ave
Belmont, CA 94002-2832
Phone
(650) 654-1854
Fax
(650) 596-8248
NPI assigned
May 8, 2007
Last updated
Sep 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 33440 CA Primary
Periodontics 1223P0300X 33440 CA

Addresses

Primary practice location

562 Ralston Ave
Belmont, CA 94002-2832

Mailing address

562 Ralston Ave
Belmont, CA 94002-2832
Phone (650) 654-1854

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
33440CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Specialty Dental Care Endodontics Current Accepting new patients

Locations

562 Ralston Ave
Belmont, CA 94002
Phone (650) 654-1854

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1518170299",
    "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": "650-654-1854",
            "fax_number": "650-596-8248"
        },
        {
            "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": "RAHMAT",
        "middle_name": "ALAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "33440",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "33440",
            "primary": false
        }
    ],
    "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 Sep 22, 2010; 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.