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DR. NIKTA GHADERI
NPI 1235512625
Dentist - Periodontics in Berkeley, CA

Active since July 02, 2015Opted out of Medicare · through Apr 7, 2028
2999 REGENT ST # 501, BERKELEY, CA 94705(408) 396-9323 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nikta Ghaderi NPPES

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

DR. NIKTA GHADERI (NPI 1235512625) is an individual periodontics provider in Berkeley, California, licensed in California (DDS102556) and active in the NPI registry since July 2015. She has opted out of Medicare through April 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235512625
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. NIKTA GHADERI
Location Address2999 REGENT ST # 501Berkeley, CA 94705-2190
Mailing Address10880 Santa Teresa DrCupertino, CA 95014-4725
Phone(408) 396-9323
Sole ProprietorNo
Enumeration DateJuly 2, 2015
Last NPPES UpdateOctober 24, 2018
✔ NPI 1235512625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · DDS102556
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2999 REGENT ST # 501, Berkeley, CA 94705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nikta Ghaderi has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 7, 2026 through April 7, 2028.

Opt-Out Effective DateApril 7, 2026
Opt-Out In Effect ThroughApril 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94705 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Nikta Ghaderi's NPI number?

The NPI number for Nikta Ghaderi is 1235512625. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Nikta Ghaderi located?

Nikta Ghaderi practices at 2999 Regent St # 501, Berkeley, CA 94705. The listed phone number is (408) 396-9323.

What is Nikta Ghaderi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Nikta Ghaderi enrolled in Medicare?

No. Nikta Ghaderi has opted out of Medicare through April 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nikta Ghaderi was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.