Individual provider Active NPI

Keyvan Arghavanifard, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1790929958
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58229 Issued in CA
Practice address
435 Arnaz Dr Apt 103
Los Angeles, CA 90048-3963
Phone
(310) 801-0282
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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 58229 CA Primary

Addresses

Primary practice location

435 Arnaz Dr Apt 103
Los Angeles, CA 90048-3963

Mailing address

435 Arnaz Dr Apt 103
Los Angeles, CA 90048-3963
Phone (310) 801-0282

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160111002141 CA Order and Referring Only - DentistPractitioner - Dentist 0446552210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58229CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sahabi-Sepahi-Arghavanifard Dental Corporation General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karghavanifard@direct.westerndental.com

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1790929958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARNAZ DR APT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483963",
            "telephone_number": "310-801-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARNAZ DR APT 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483963",
            "telephone_number": "310-801-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGHAVANIFARD",
        "first_name": "KEYVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.