Dr Shahram Nouri, DDS in Northridge, CA - Medicare Dentist Provider

Dr Shahram Nouri, DDS is a medicare enrolled "Dentist - General Practice" provider in Northridge, California. His current practice location is 9318 Reseda Blvd, Northridge, California. You can reach out to his office (for appointments etc.) via phone at (818) 885-5200.

Dr Shahram Nouri is licensed to practice in California (license number 48974) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912069170.

Contact Information

	Dr Shahram Nouri, DDS
	9318 Reseda Blvd, Northridge, CA 91324-2926
	(818) 885-5200
	(818) 885-0087

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shahram Nouri
Gender	Male
Speciality	Dentist - General Practice
Location	9318 Reseda Blvd, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912069170
Provider Enumeration Date: 12/14/2006
Last Update Date: 10/13/2014

Medicare PECOS Information:

PECOS PAC ID: 2466874599
Enrollment ID: I20200618002667

Medical Identifiers

Medical identifiers for Dr Shahram Nouri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912069170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	48974 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shahram Nouri allows following entities to bill medicare on his behalf.

Entity Name	Shahram Nouri Dental Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356844583 PECOS PAC ID: 0648692772 Enrollment ID: O20200618002621

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shahram Nouri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shahram Nouri, DDS 9318 Reseda Blvd, Northridge, CA 91324-2926 Ph: (818) 885-5200	Dr Shahram Nouri, DDS 9318 Reseda Blvd, Northridge, CA 91324-2926 Ph: (818) 885-5200

Reviews and Comments

Dentist in Northridge, CA

Mr. Frank H Hackman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8864 Corbin Ave, All Family Dental Care, Northridge, CA 91324 Phone: 818-700-7980 Fax: 818-709-7830
Fariba Kohanghadosh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18433 Roscoe Blvd, Northridge, CA 91325 Phone: 818-882-0100
Rong Zhang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10141 Lasaine Ave, Northridge, CA 91325 Phone: 310-985-4975
Dr. Tam-huong Ngoc Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11155 Tampa Ave, Northridge, CA 91326 Phone: 818-363-3382 Fax: 818-363-4002
Knud G Flygenring, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 17300 Nordhoff Street, Northridge, CA 91325 Phone: 818-886-0991 Fax: 818-885-8461
Dr. Carmen Agapin Magpantay, Dentist Medicare: Medicare Enrolled Practice Location: 10321 Zelzah Ave, Northridge, CA 91326 Phone: 818-366-4118 Fax: 818-366-6098
Dr. Michael Anthony Astete, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18911 Nordhoff St, Suite 35, Northridge, CA 91324 Phone: 818-701-5126 Fax: 818-701-5279

Dr Shahram Nouri, DDS - Medicare Dentist in Northridge, CA