Active NPI
Bahram Kashanchi, D.D.S
- Dentist
- Reseda, CA
National Provider Identifier
1962566851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34131
- Practice address
- 6670 Reseda Blvd
Suite 203
Reseda, CA 91335-5327 - Phone
- (818) 881-3822
- Fax
- (818) 881-3423
- NPI assigned
- Dec 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34131 | CA | Primary |
Addresses
Primary practice location
6670 Reseda Blvd
Suite 203
Reseda, CA 91335-5327
Mailing address
20576 Califa St
Woodland Hills, CA 91367-5310
Phone (818) 881-3822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BK34131-01 | Other | CA | MEDICAL PROVIDER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34131 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962566851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20576 CALIFA ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913675310",
"telephone_number": "818-881-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6670 RESEDA BLVD",
"address_2": "SUITE 203",
"city": "RESEDA",
"state": "CA",
"postal_code": "913355327",
"telephone_number": "818-881-3822",
"fax_number": "818-881-3423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHANCHI",
"first_name": "BAHRAM",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "34131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER",
"identifier": "BK34131-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.