Individual provider Active NPI

Taher Aminikharrazi, DMD

  • Prosthodontics
  • Newport Beach, CA
National Provider Identifier
1891908224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
49050 Issued in CA
Practice address
220 Newport Center Dr Ste 3
Newport Beach, CA 92660-7507
Phone
(949) 759-9777
Fax
(949) 759-1871
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 49050 CA Primary

Addresses

Primary practice location

220 Newport Center Dr Ste 3
Newport Beach, CA 92660-7507

Mailing address

220 Newport Center Dr Ste 3
Newport Beach, CA 92660-7507
Phone (949) 759-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49050CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Mahin G Farzin DDS Inc Past Accepting new patients
Mahin G Farzin, DDS Inc PastSince Aug 9, 2020 Accepting new patients

Organizations & group practices 2

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891908224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR STE 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607507",
            "telephone_number": "949-759-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR STE 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607507",
            "telephone_number": "949-759-9777",
            "fax_number": "949-759-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINIKHARRAZI",
        "first_name": "TAHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "49050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.