Tina Bastar, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

103889 Issued in CA

Practice address

19963 Ventura Blvd
Woodland Hills, CA 91364-2631

Phone

(818) 703-0234

NPI assigned

Apr 19, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Haleh Shaheedy,DMD, Inc.

  dba Smiles For All

  • Dentist
  • Woodland Hills, CA
  • NPI 1144601444
  NPD (past)

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1942863477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 CORAL PINK CIR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677208",
            "telephone_number": "949-466-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19963 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642631",
            "telephone_number": "818-703-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 W 34th St Herman Ostrow School Of Dentistry",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900890001",
            "country_code": "US",
            "telephone_number": "213-740-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTAR",
        "first_name": "TINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "103889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessa Marie Barsuglia
• Joseph P. Barsuglia, M.A.
• Thomas Richard Bartle, DMD
• Shahryar Barzegar, PHARM.D.
• Karima Bashir
• Carla Bate, MSCN
• Marionbeth J Bates
• Lea Marie Bathon
• Irma Batriz
• Kylie Battiata

• Pediatric Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.