Individual provider Active NPI

Arya Tehrany, D.D.S.

  • Endodontics
  • Los Angeles, CA
National Provider Identifier
1902044068
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
55484 Issued in CA
Practice address
2933 Lakeridge Dr
Los Angeles, CA 90068-1807
Phone
(818) 231-9197
NPI assigned
Jan 28, 2009
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 150575 NC
Endodontics 1223E0200X 55484 CA Primary

Addresses

Primary practice location

2933 Lakeridge Dr
Los Angeles, CA 90068-1807

Mailing address

2933 Lakeridge Dr
Los Angeles, CA 90068-1807
Phone (818) 231-9197

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
I20150511001425 CA Order and Referring Only - DentistPractitioner - Dentist 2961721154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55484CAMDEndodontist
150575NCMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1902044068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 LAKERIDGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681807",
            "telephone_number": "818-231-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 LAKERIDGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681807",
            "telephone_number": "818-231-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANY",
        "first_name": "ARYA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "150575",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "55484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.