Individual provider Active NPI

Bita Zavari DMD PC, DMD

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1710180773
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7771 Issued in OR
Practice address
9053 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2435
Phone
(503) 292-3519
Fax
(503) 297-7712
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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 D7771 OR Primary

Addresses

Primary practice location

9053 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2435

Mailing address

1600 SW Cedar Hills Blvd
Ste 110
Portland, OR 97225-5439
Phone (503) 292-2125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223001344 OR Order and Referring Only - Other (Non-Physician) 1153626544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7771ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Zavari Dental PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1710180773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW CEDAR HILLS BLVD",
            "address_2": "STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255439",
            "telephone_number": "503-292-2125",
            "fax_number": "503-200-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 SW BEAVERTON HILLSDALE HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252435",
            "telephone_number": "503-292-3519",
            "fax_number": "503-297-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVARI DMD PC",
        "first_name": "BITA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.