Active NPI
Sarah Anvari Khoshniyati, DDS
- Dentist
- Palm Desert, CA
National Provider Identifier
1982219804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105459
- Practice address
- 44239 Monterey Ave
Palm Desert, CA 92260-2710 - Phone
- (760) 568-3602
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 105459 | CA | Primary |
Addresses
Primary practice location
44239 Monterey Ave
Palm Desert, CA 92260-2710
Mailing address
50785 Grand Traverse Ave
La Quinta, CA 92253-5845
Phone (949) 302-3363
Other names 1
- Dr. Sarah Anvari
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 |
|---|---|---|---|
| 105459 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas S Baumann, DDS Inc | Current | Accepting new patients | |
| Bruce R. Baumann DDS Inc. | Dentist | Past | Accepting new patients |
| Mowrey Dental Corporation | Past | Accepting new patients |
Locations
44239 Monterey Ave
Palm Desert, CA 92260
Phone (760) 568-3602
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Palm Desert, CA
- NPI 1689378051
-
- Dentist
- Palm Desert, CA
- NPI 1285020453
-
- General Practice Dentistry
- La Quinta, CA
- NPI 1851485635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662854400000",
"number": "1982219804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50785 GRAND TRAVERSE AVE",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922535845",
"telephone_number": "949-302-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44239 MONTEREY AVE",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602710",
"telephone_number": "760-568-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSHNIYATI",
"first_name": "SARAH",
"middle_name": "ANVARI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2022-09-11",
"certification_date": "2022-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ANVARI",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.