Individual provider Active NPI

Nozar Tarkesh, DMD

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1902458086
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS108648 Issued in CA
Practice address
600 Coffee Rd Ste Q
Bakersfield, CA 93309-1264
Phone
(661) 831-7230
NPI assigned
Jul 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D010431 AZ
General Practice Dentistry 1223G0001X DDS108648 CA Primary

Addresses

Primary practice location

600 Coffee Rd Ste Q
Bakersfield, CA 93309-1264

Mailing address

600 Coffee Rd Ste Q
Bakersfield, CA 93309-1264
Phone (661) 831-7230

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
D010431AZMDGeneral Practice Dentistry
DDS108648CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nozar Tarkesh, DMD, a Professional Corporation General Practice CurrentSince Jan 21, 2024 Accepting new patients

Locations

600 Coffee Rd
Ste Q
Bakersfield, CA 93309
Phone (661) 323-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1902458086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COFFEE RD STE Q",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091264",
            "telephone_number": "661-831-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COFFEE RD STE Q",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091264",
            "telephone_number": "661-831-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARKESH",
        "first_name": "NOZAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010431",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS108648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.