Individual provider Active NPI

Behrad Bashirtash

  • Dentist
  • Irvine, CA
National Provider Identifier
1770498701
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS113637 Issued in CA
Practice address
14202 Pintado
Irvine, CA 92618-0284
Phone
(949) 466-7610
NPI assigned
Aug 14, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS113637 CA Primary

Addresses

Primary practice location

14202 Pintado
Irvine, CA 92618-0284

Mailing address

14202 Pintado
Irvine, CA 92618-0284

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

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1770498701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 PINTADO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14202 PINTADO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180284",
            "telephone_number": "949-466-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIRTASH",
        "first_name": "BEHRAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS113637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.