Individual provider Active NPI

Raffi Barsam, DMD

  • General Practice Dentistry
  • Sherman Oaks, CA
National Provider Identifier
1982704524
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52828 Issued in CA
Practice address
4530 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010
Phone
(818) 971-4600
Fax
(818) 971-4603
NPI assigned
Sep 24, 2006
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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 52828 CA Primary

Addresses

Primary practice location

4530 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010

Mailing address

4530 Sherman Oaks Ave
Sherman Oaks, CA 91403-3010
Phone (818) 971-4600

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

LicenseStateTypeSpecialty
52828CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Raffi R Barsam DMD Cosmetic and General Dentistry Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1982704524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033010",
            "telephone_number": "818-971-4600",
            "fax_number": "818-971-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033010",
            "telephone_number": "818-971-4600",
            "fax_number": "818-971-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSAM",
        "first_name": "RAFFI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.