Active NPI
Omid R. Kashani, D.D.S.
- Dentist
- Monrovia, CA
National Provider Identifier
1528123981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48295
- Practice address
- 115 W Foothill Blvd
Monrovia, CA 91016-2144 - Phone
- (626) 358-1833
- Fax
- (626) 358-2622
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48295 | CA | Primary |
Addresses
Primary practice location
115 W Foothill Blvd
Monrovia, CA 91016-2144
Mailing address
115 W Foothill Blvd
Monrovia, CA 91016-2144
Phone (626) 358-1833
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 |
|---|---|---|---|
| 48295 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omid R. Kashani 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental Care 2000 Plus
- Dental Clinic/Center
- Monrovia, CA
- NPI 1629232764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1528123981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W FOOTHILL BLVD",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162144",
"telephone_number": "626-358-1833",
"fax_number": "626-358-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W FOOTHILL BLVD",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162144",
"telephone_number": "626-358-1833",
"fax_number": "626-358-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHANI",
"first_name": "OMID",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.