Individual provider Active NPI

Arshia Kasravi, D.D.S., M.S.D.

  • Endodontics
  • Irvine, CA
National Provider Identifier
1861642191
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
49904 Issued in CA
Practice address
16100 Sand Canyon Ave Ste 220
Irvine, CA 92618-3729
Phone
(949) 727-1753
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 49904 CA Primary

Addresses

Primary practice location

16100 Sand Canyon Ave Ste 220
Irvine, CA 92618-3729

Mailing address

16100 Sand Canyon Ave Ste 220
Irvine, CA 92618-3729
Phone (949) 727-1753

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
I20160411000289 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224336151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49904CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1861642191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183729",
            "telephone_number": "949-727-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183729",
            "telephone_number": "949-727-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASRAVI",
        "first_name": "ARSHIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "49904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.