Kasra Sanjari, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS102295 Issued in CA

Practice address

100 W Coast Hwy Unit R-203
Newport Beach, CA 92663-5677

Phone

(949) 942-1081

NPI assigned

Jul 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Montgomery Village Dental Ctr

  • General Practice Dentistry
  • Gaithersburg, MD
  • NPI 1558487413
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1558746388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COAST HWY UNIT R-203",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635677",
            "telephone_number": "949-942-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W COAST HWY UNIT R-203",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635677",
            "telephone_number": "949-942-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJARI",
        "first_name": "KASRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15927",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Nathalie Sandoval
• Sandra Artar Bayindir Child and Family Therapy, Inc.
• Sandra Cameron Physical Therapy, Inc
• Sandra S. Kwak, M.D., Inc.
• Brooke Sandvig
• Sanjay M. Vaswani, MD., Inc
• Estrella Celeste Santiago
• Azalie Aislinn Santillan-Ruiz
• Paul Santos, PT, DPT
• Shashly Sapon

• General Practice Dentistry in Newport Beach, CA
• Providers in Newport Beach, 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 Oct 7, 2019; 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.