Hassan Taheri, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49679 Issued in CA

Practice address

2320 Woolsey St Ste 312
Berkeley, CA 94705-1976

Phone

(510) 848-8624

Fax

(510) 848-0585

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berkeley Hills Dental Care, Inc.

  dba Berkeley Hills Dental Group

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1356589196
  NPD (past)
• David S. Nikfarjam DDS, Inc.

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1326248147
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922169796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-848-8624",
            "fax_number": "510-848-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-848-8624",
            "fax_number": "510-848-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHERI",
        "first_name": "HASSAN",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Tabb, LCSW
• Rena Tacdol, MD
• Yuriko Tada, MA, AMFT
• Nicole Taggares
• Linda L Taggart, LCSW
• Jennifer Ann Tai, MSW, PPSC
• Stephanie Michelle Tai, FNP, MSN, RN
• Alexandra Tal, LCSW
• John Talaga, PSYD
• Ysabela Talamantes

• General Practice Dentistry in Berkeley, CA
• Providers in Berkeley, CA by specialty
• General Practice Dentistry in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.