WILSHIRE DENTAL OFFICE
NPI 1174291363
Dentist - Dental Public Health in Los Angeles, CA

Active since September 01, 2021
6200 WILSHIRE BLVD, LOS ANGELES, CA 90048(323) 938-6137(323) 938-1336 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2022, Oct 26, 2022 (2 updates tracked since 2022).

About Wilshire Dental Office NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILSHIRE DENTAL OFFICE (NPI 1174291363) is a healthcare organization registered as a dental public health in Los Angeles, California and active in the NPI registry since September 2021. The organization lists Marcela Martinez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174291363
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameBIJAN AFAR DENTAL CORPORATION
Location Address6200 WILSHIRE BLVDLos Angeles, CA 90048-5801
Mailing Address6200 Wilshire BlvdLos Angeles, CA 90048-5801 · (323) 938-6137 · Fax (323) 938-1336
Fax(323) 938-1336
Organization SubpartNo
Authorized OfficialMarcela MartinezOffice Manager · (818) 432-8300
Enumeration DateSeptember 1, 2021
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1174291363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
6200 WILSHIRE BLVD, Los Angeles, CA 90048

Other Names 1

Doing Business AsWilshire Dental Office

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilshire Dental Office is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilshire Dental Office, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1700954385
6200 WILSHIRE BLVD SUITE 1508
Los Angeles, CA 90048
(323) 938-6137
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bijan Afar Dental Corporation's NPI number?

The NPI number for Bijan Afar Dental Corporation is 1174291363. It was assigned to this organization in the NPPES registry on September 1, 2021. The provider is doing business as Wilshire Dental Office.

Where is Bijan Afar Dental Corporation located?

Bijan Afar Dental Corporation is located at 6200 Wilshire Blvd, Los Angeles, CA 90048. The listed phone number is (323) 938-6137.

What is Bijan Afar Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Bijan Afar Dental Corporation enrolled in Medicare?

Yes. Bijan Afar Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bijan Afar Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Bijan Afar Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bijan Afar Dental Corporation was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.