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DR. ARIA MIRZAZADEH JAVAHERI DMD
NPI 1215626007
Dentist in Portland, OR

Active since May 05, 2023PECOS Enrolled
5228 N LOMBARD ST, PORTLAND, OR 97203(503) 289-7043 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Sep 26, 2024, Jun 29, 2024 and 1 more (4 updates tracked since 2023).

About Dr. Aria Mirzazadeh Javaheri Dmd NPPES

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

DR. ARIA MIRZAZADEH JAVAHERI DMD (NPI 1215626007) is an individual dentist in Portland, Oregon, licensed in Oregon (D81123) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215626007
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ARIA MIRZAZADEH JAVAHERICredential: DMD
Location Address5228 N LOMBARD STPortland, OR 97203-4326
Mailing Address5228 N Lombard StPortland, OR 97203-4326 · (503) 289-7043
Phone(503) 289-7043
Sole ProprietorNo
Enumeration DateMay 5, 2023
Last NPPES UpdateMarch 18, 20254 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1215626007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D81123
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5228 N LOMBARD ST, Portland, OR 97203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Aria Mirzazadeh Javaheri Dmd 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 97203 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 3

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

DR. FARZIN TURK DMD
Dentist (General Practice)
5228 N LOMBARD ST
PORTLAND, OR 97203
Multnomah County (503) 289-7043
DR JAMES V FROHNMAYER DMD PC
Dentist (General Practice)
5228 N LOMBARD ST
PORTLAND, OR 97203
Multnomah County (503) 289-7043
MR. JAMES VAUGHN FROHNMAYER DMD
Dentist
5228 N LOMBARD ST
PORTLAND, OR 97203
Multnomah County (503) 289-7043

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 Aria Mirzazadeh Javaheri's NPI number?

The NPI number for Aria Mirzazadeh Javaheri is 1215626007. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Aria Mirzazadeh Javaheri located?

Aria Mirzazadeh Javaheri practices at 5228 N Lombard St, Portland, OR 97203. The listed phone number is (503) 289-7043.

What is Aria Mirzazadeh Javaheri's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Aria Mirzazadeh Javaheri enrolled in Medicare?

Yes. Aria Mirzazadeh Javaheri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aria Mirzazadeh Javaheri was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.