Individual provider Active NPI

Shahriar Parvizpour, D.D.S.

  • Prosthodontics
  • Whittier, CA
National Provider Identifier
1821359084
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
42756 Issued in CA
Practice address
8152 Painter Ave
Ste 101
Whittier, CA 90602-3100
Phone
(562) 698-8272
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 42756 CA Primary

Addresses

Primary practice location

8152 Painter Ave
Ste 101
Whittier, CA 90602-3100

Mailing address

8152 Painter Ave
Ste 101
Whittier, CA 90602-3100
Phone (562) 698-8272

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
I20160415000393 CA Order and Referring Only - DentistPractitioner - Dentist 7618275223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42756CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
George Perri DDS, Thomas Bigley DDS, Shahriar Parvizpour DDS, a Dental Prosthodontics Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1821359084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 PAINTER AVE",
            "address_2": "STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023100",
            "telephone_number": "562-698-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 PAINTER AVE",
            "address_2": "STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023100",
            "telephone_number": "562-698-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVIZPOUR",
        "first_name": "SHAHRIAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "42756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.