Individual provider Active NPI

Taraneh Asharimiami, DDS

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1841027315
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110799 Issued in CA
Practice address
5731 E Santa Ana Canyon Rd Ste a
Anaheim, CA 92807-3234
Phone
(714) 998-2956
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 110799 CA Primary

Addresses

Primary practice location

5731 E Santa Ana Canyon Rd Ste a
Anaheim, CA 92807-3234

Mailing address

5985 Avenida Antigua
Yorba Linda, CA 92887-3512
Phone (425) 765-6987

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
I20250812002605 CA Order and Referring Only - DentistPractitioner - Dentist 4486152105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rodgers Professional Dental Corporation General Practice PastSince Sep 23, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1841027315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 AVENIDA ANTIGUA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873512",
            "telephone_number": "425-765-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 E SANTA ANA CANYON RD STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073234",
            "telephone_number": "714-998-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHARIMIAMI",
        "first_name": "TARANEH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.