Farzin Kohanfarsi, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100938 Issued in CA

Practice address

20218 Wells Dr
Woodland Hills, CA 91364-4730

Phone

(818) 451-8777

NPI assigned

Oct 19, 2016

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

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

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1710438239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20218 WELLS DRIVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-451-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20218 WELLS DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644730",
            "telephone_number": "818-451-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANFARSI",
        "first_name": "FARZIN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Kleinbrodt, DPM
• KM Chiropractic & Pain Management, LLC
• Stephen Sergio Knox
• Eline Kocharyan
• Joshua Arya Kohanchi, PA-C
• Lorraine Kole, RDN
• Sheryl D Kolker, LMFT
• Kaylee Kolman
• Arpi Koltougian, M.D.
• Andrew Akira Komesu, RPH

• General Practice Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, 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 Oct 19, 2016; 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.