Individual provider Active NPI

Ashkan Tirgari, D.D.S.

  • Pediatric Dentistry
  • Agoura Hills, CA
National Provider Identifier
1629260153
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
52479 Issued in CA
Practice address
28040 Dorothy Dr Ste 202
Agoura Hills, CA 91301-4916
Phone
(310) 740-0741
NPI assigned
Aug 17, 2007
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 52479 CA Primary

Addresses

Primary practice location

28040 Dorothy Dr Ste 202
Agoura Hills, CA 91301-4916

Mailing address

28040 Dorothy Dr Ste 202
Agoura Hills, CA 91301-4916

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ash Tirgari DDS and Armand Begian DDS Inc. Pediatric Dentistry CurrentSince Jan 1, 2020 Accepting new patients
Grace Dominica Dy DDS Inc General Practice Past Accepting new patients
Ashkan Tirgari Dental Inc General Practice Past Accepting new patients

Locations

28040 Dorothy Dr
Ste 202
Agoura Hills, CA 91301
Phone (818) 665-2136

Organizations & group practices 3

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1629260153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28040 DOROTHY DR STE 202",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014916",
            "fax_number": "714-282-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28040 DOROTHY DR STE 202",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014916",
            "telephone_number": "310-740-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRGARI",
        "first_name": "ASHKAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "52479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.