AREZO HESARAKI DDS
NPI 1174928857
Dentist - General Practice in Oak Grove, MO

Active since October 23, 2014PECOS Enrolled
2016 S BROADWAY, OAK GROVE, MO 64075(816) 690-4141 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2024, Oct 11, 2019 (2 updates tracked since 2019).

About Arezo Hesaraki Dds NPPES

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

AREZO HESARAKI DDS (NPI 1174928857) is an individual general practice provider in Oak Grove, Missouri, licensed in Missouri (2014031462) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174928857
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAREZO HESARAKICredential: DDS
Location Address2016 S BROADWAYOak Grove, MO 64075-8439
Mailing Address1050 W 10th St, Ste 480Rolla, MO 65401-2905 · (816) 690-4141
Sole ProprietorNo
Enumeration DateOctober 23, 2014
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1174928857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MO · 2014031462 Licensed in KS · 61113
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2016 S BROADWAY, Oak Grove, MO 64075

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Arezo Hesaraki Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2016 S BROADWAY
OAK GROVE, MO 64075
Dentist
2016 S BROADWAY
OAK GROVE, MO 64075

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 Arezo Hesaraki's NPI number?

The NPI number for Arezo Hesaraki is 1174928857. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Arezo Hesaraki located?

Arezo Hesaraki practices at 2016 S Broadway, Oak Grove, MO 64075. The listed phone number is (816) 690-4141.

What is Arezo Hesaraki's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Arezo Hesaraki enrolled in Medicare?

Yes. Arezo Hesaraki is registered in the Medicare PECOS enrollment system.

What insurance does Arezo Hesaraki accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 17 other insurers list Arezo Hesaraki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arezo Hesaraki was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.