Farshad Moftakhar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38565 Issued in CA

Practice address

9025 Wilshire Blvd
Ste315
Beverly Hills, CA 90211-1831

Phone

(310) 274-7485

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pacific Dental Care

  • Periodontics
  • Beverly Hills, CA
  • NPI 1033250741
  NPD (past) Authorized official
• Pacific Dental Care

  • Endodontics
  • Beverly Hills, CA
  • NPI 1447391016
  NPD (past) Authorized official
• Pacific Dental Care

  • Oral and Maxillofacial Surgery (Dentist)
  • Beverly Hills, CA
  • NPI 1588708309
  NPD (past) Authorized official
• Pacific Dental Care

  • Dentist
  • Beverly Hills, CA
  • NPI 1033251707
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1821057415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CARLA RDG",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101910",
            "telephone_number": "310-274-7485",
            "fax_number": "626-363-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "STE315",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-274-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFTAKHAR",
        "first_name": "FARSHAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Institute of Plastic Surgery & Antiaging, Inc.
• Modern Intitute of Plastic Surgery & Anti-Aging
• Modern Surgery Centers LLC
• Michael Modica, M.D.
• Brent R.W. Moelleken, M.D.
• Liyan Moghadam Massaband, D.M.D.
• Christina Asal Moghadam, OD
• Guity Moghadam, MD
• Ehab Aly Mohamed, M.D.
• Mohammad Ryan Khosravi, MD Inc

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly 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 Sep 19, 2007; 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.