Active NPI
Kian Farzaneh, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Danville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 46587
- Practice address
- 801 San Ramon Valley Blvd Ste a
Danville, CA 94526-4027 - Phone
- (925) 831-9217
- Fax
- (925) 831-9218
- NPI assigned
- Jul 16, 2006
- Last updated
- Nov 6, 2019
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 46587 | CA | Primary |
Addresses
Primary practice location
801 San Ramon Valley Blvd Ste a
Danville, CA 94526-4027
Mailing address
801 San Ramon Valley Blvd Ste a
Danville, CA 94526-4027
Phone (925) 831-9217
Other practice location 1
903 San Ramon Valley Blvd
suite 126
Danville, CA 94526-4046
Phone (925) 831-9217
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130509000170 | CA | Order and Referring Only - Oral Surgery | 2567609662 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kian Farzaneh D.D.S., Inc | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
801 San Ramon Valley Blvd
Ste A
Danville, CA 94526
Phone (925) 831-9217
903 San Ramon Valley Blvd
Ste 126
Danville, CA 94526
Phone (209) 256-1507
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Danville, CA
- NPI 1285761411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1982621942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 SAN RAMON VALLEY BLVD STE A",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264027",
"telephone_number": "925-831-9217",
"fax_number": "925-831-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 SAN RAMON VALLEY BLVD STE A",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264027",
"telephone_number": "925-831-9217",
"fax_number": "925-831-9218"
}
],
"practiceLocations": [
{
"address_1": "903 San Ramon Valley Blvd",
"address_2": "suite 126",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "CA",
"postal_code": "945264046",
"country_code": "US",
"telephone_number": "925-831-9217",
"fax_number": "925-831-9218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARZANEH",
"first_name": "KIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "46587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.