Individual provider Active NPI

Bahar Movahed Bashiri, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chino Hills, CA
National Provider Identifier
1750873923
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DDS101082 Issued in CA
Practice address
15390 Fairfield Ranch Rd Ste E
Chino Hills, CA 91709-8854
Phone
(909) 606-6336
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS101082 CA Primary

Addresses

Primary practice location

15390 Fairfield Ranch Rd Ste E
Chino Hills, CA 91709-8854

Mailing address

2549 Eastbluff Dr Ste 375
Newport Beach, CA 92660-3500

Other practice location 1

7722 Seville Ave
Huntington Park, CA 90255-6316
Phone (323) 749-0109

Other practice location 2

2551 W Ball Rd
Anaheim, CA 92804-4001
Phone (844) 757-9799

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DDS101082CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bahar Movahed, DDS, Inc. CurrentSince Dec 16, 2020 Accepting new patients

Locations

15390 Fairfield Ranch Rd
Ste E
Chino Hills, CA 91709
Phone (909) 606-0603

2549 Eastbluff Dr
Ste 375
Newport Beach, CA 92660

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1750873923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 EASTBLUFF DR STE 375",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15390 FAIRFIELD RANCH RD STE E",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098854",
            "telephone_number": "909-606-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7722 Seville Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902556316",
            "country_code": "US",
            "telephone_number": "323-749-0109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2551 W Ball Rd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928044001",
            "country_code": "US",
            "telephone_number": "844-757-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOVAHED BASHIRI",
        "first_name": "BAHAR",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS101082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.