Individual provider Active NPI

Negeendokht Zareh, DMD

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1942392485
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45071 Issued in CA
Practice address
6926 Brockton Ave Ste 3
Riverside, CA 92506-3804
Phone
(951) 784-7123
Fax
(951) 784-7126
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45071 CA Primary

Addresses

Primary practice location

6926 Brockton Ave Ste 3
Riverside, CA 92506-3804

Mailing address

6926 Brockton Ave Ste 3
Riverside, CA 92506-3804
Phone (951) 784-7123

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
I20220215002613 CA Practitioner - Dentist 0941693915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45071CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Negeen Zareh D M D Inc a Professional Corporation General Practice CurrentSince Nov 28, 2000 Accepting new patients

Locations

6926 Brockton Ave
Ste 3
Riverside, CA 92506
Phone (951) 784-7123

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1942392485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE STE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063804",
            "telephone_number": "951-784-7123",
            "fax_number": "951-784-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE STE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063804",
            "telephone_number": "951-784-7123",
            "fax_number": "951-784-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAREH",
        "first_name": "NEGEENDOKHT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.