Individual provider Active NPI

Parsa Taghi Zadeh, D.D.S., F.A.G.D.

  • General Practice Dentistry
  • Beverly Hills, CA
National Provider Identifier
1659530889
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35173 Issued in CA
Practice address
9100 Wilshire Blvd
Suite Number W448
Beverly Hills, CA 90212-3415
Phone
(310) 273-9919
Fax
(310) 273-3319
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35173 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd
Suite Number W448
Beverly Hills, CA 90212-3415

Mailing address

9100 Wilshire Blvd
Suite Number W448
Beverly Hills, CA 90212-3415
Phone (310) 273-9919

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131212001255 CA Practitioner - Oral Surgery 0042447385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35173CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1659530889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD",
            "address_2": "SUITE NUMBER W448",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123415",
            "telephone_number": "310-273-9919",
            "fax_number": "310-273-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD",
            "address_2": "SUITE NUMBER W448",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123415",
            "telephone_number": "310-273-9919",
            "fax_number": "310-273-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "PARSA",
        "middle_name": "TAGHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.