Cyrus Ezzati, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37544 Issued in CA

Practice address

881 Fremont Ave
B1
Los Altos, CA 94024-5697

Phone

(650) 949-4734

Fax

(650) 949-5710

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Foothill Dental Care

  • Dentist
  • Los Altos, CA
  • NPI 1427177815
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528278876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 FREMONT AVE",
            "address_2": "B1",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245697",
            "telephone_number": "650-949-4734",
            "fax_number": "650-949-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 FREMONT AVE",
            "address_2": "B1",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245697",
            "telephone_number": "650-949-4734",
            "fax_number": "650-949-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZATI",
        "first_name": "CYRUS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Rose Eszes
• Anne Haunschild Evans, LMFT
• Evonne E. David
• Eye Face & Body Surgery Center LLC
• Eye Lite Optometry, Inc.
• Susan Ezzati, DDS
• Dennis Bernard Facchino, PH.D.
• Faircare, Inc.
• Family and Group Therapy , a Professional Corporation
• Family Dentistry Marina Manosov DDS Inc

• General Practice Dentistry in Los Altos, CA
• Providers in Los Altos, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.