Active NPI
Negah Karimpourtalebi
- Endodontics
- Walnut Creek, CA
National Provider Identifier
1881210185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS108518
- Practice address
- 1844 San Miguel Dr Ste 103
Walnut Creek, CA 94596-8601 - Phone
- (925) 937-3131
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DDS108518 | CA | Primary |
Addresses
Primary practice location
1844 San Miguel Dr Ste 103
Walnut Creek, CA 94596-8601
Mailing address
1844 San Miguel Dr Ste 103
Walnut Creek, CA 94596-8601
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711002458 | CA | Order and Referring Only - Dentist | 3678932407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS108518 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental Kenosha LLC | 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.
-
- Dental Clinic/Center
- Kenosha, WI
- NPI 1154782209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1881210185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 SAN MIGUEL DR STE 103",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945968601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 SAN MIGUEL DR STE 103",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945968601",
"telephone_number": "925-937-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARIMPOURTALEBI",
"first_name": "NEGAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "DDS108518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.