Amir H Haghshenas, D.D.S., F.A.G.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39802 Issued in CA

Practice address

14475 S Bascom Ave
Suite E
Los Gatos, CA 95032-2002

Phone

(408) 377-5134

Fax

(408) 371-1675

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679619084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14475 S BASCOM AVE",
            "address_2": "SUITE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322002",
            "telephone_number": "408-377-5134",
            "fax_number": "408-371-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14475 S BASCOM AVE",
            "address_2": "SUITE E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322002",
            "telephone_number": "408-377-5134",
            "fax_number": "408-371-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHSHENAS",
        "first_name": "AMIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Meaghan Jing-Mei Haber, AU.D., CCC-A, CH-TM
• Daniel Antonios Hage
• Jennifer Diane Haggerty, M.D.
• Kevin Michael Haggerty, MD
• Edith Haghnazarian, MD
• Ann Halkett, MFT
• Daniel L Hall, DDS, MDS
• Mayra Hamilton, OTR/L
• William Clark Hamilton IV, D.C.
• Andrea Hammer, PT

• General Practice Dentistry in Los Gatos, CA
• Providers in Los Gatos, 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 9, 2007; 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.