Arezoo Nasiry, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48153 Issued in CA

Practice address

3377 Wilshire Blvd Ste 202
Los Angeles, CA 90010-1852

Phone

(213) 385-9710

NPI assigned

Jan 25, 2007

Last updated

Mar 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nasiry Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1861645418
  Authorized official Same address or phone
• Nasiry Dental Corporation

  • Dentist
  • Los Angeles, CA
  • NPI 1720614894
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1619022936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W 136TH ST",
            "address_2": "6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317901",
            "telephone_number": "718-824-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 WILSHIRE BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101852",
            "telephone_number": "213-385-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIRY",
        "first_name": "AREZOO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "000035",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Nasimi
• Mariam Ahmed Nasir, PHARMD
• Sanaa Nasir
• Nasiry Dental Corporation
• Nasiry Dental Corporation
• Azadeh Nasiry, DMD
• Mary Catherine Nasmyth, M.D.
• Caline Nasr, MSW, M.ED.
• Leane S Nasrallah, MD
• Nancy Nasrawin, MD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 20, 2020; 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.