Active NPI
Siamak Bayat-Mokhtari, D.D.S
- Dentist
- Lancaster, CA
National Provider Identifier
1760921878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101173
- Practice address
- 44407 Challenger Way
Lancaster, CA 93535-3237 - Phone
- (661) 206-3983
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 101173 | CA | Primary |
Addresses
Primary practice location
44407 Challenger Way
Lancaster, CA 93535-3237
Mailing address
24180 Newhall Ranch Road
Apt. #9201
Valencia, CA 91355
Phone (818) 516-9941
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101173 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Siamak Bayat DDS a Dental Corp | Dentist | Current | 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.
-
- Dentist
- Lancaster, CA
- NPI 1962148015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1760921878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24180 NEWHALL RANCH ROAD",
"address_2": "APT. #9201",
"city": "VALENCIA",
"state": "CA",
"postal_code": "91355",
"telephone_number": "818-516-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44407 CHALLENGER WAY",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935353237",
"telephone_number": "661-206-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYAT-MOKHTARI",
"first_name": "SIAMAK",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.