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NAZ KHODAYARI D.D.S.
NPI 1770607624
Dentist - General Practice in Beverly Hills, CA

Active since March 18, 2007Opted out of Medicare · through Feb 3, 2028
300 S BEVERLY DR, SUITE 411, BEVERLY HILLS, CA 90212(310) 553-0109(310) 553-0520 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Naz Khodayari D.d.s. NPPES

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

NAZ KHODAYARI D.D.S. (NPI 1770607624) is an individual general practice provider in Beverly Hills, California, licensed in California (46193) and active in the NPI registry since March 2007. She has opted out of Medicare through February 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770607624
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNAZ KHODAYARICredential: D.D.S.
Location Address300 S BEVERLY DR, SUITE 411Beverly Hills, CA 90212-4808
Mailing Address300 S Beverly Dr, Suite 411Beverly Hills, CA 90212-4808 · (310) 553-0109 · Fax (310) 553-0520
Phone(310) 553-0109
Fax(310) 553-0520
Sole ProprietorNo
Enumeration DateMarch 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770607624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 46193
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.
300 S BEVERLY DR, Beverly Hills, CA 90212
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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

Naz Khodayari D.d.s. 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 February 3, 2016 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2016
Opt-Out In Effect ThroughFebruary 3, 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 90212 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

DR. MAZIAR GHODSIAN D.O.
Colon & Rectal Surgery
300 S BEVERLY DR, SUITE 105
BEVERLY HILLS, CA 90212
Los Angeles County (800) 280-6384
HEATHER DEMETER PSY.D.
Psychologist
300 S BEVERLY DR, 400
BEVERLY HILLS, CA 90212
Los Angeles County (310) 363-0179
MAZIAR GHODSIAN DO PC
Colon & Rectal Surgery
300 S BEVERLY DR, SUITE 105
BEVERLY HILLS, CA 90212
Los Angeles County (800) 280-6384
MILART PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
300 S BEVERLY DR, STE 100
BEVERLY HILLS, CA 90212
Los Angeles County (310) 553-0225
LISA R HELLER
Social Worker (Clinical)
300 S BEVERLY DR, STE 212
BEVERLY HILLS, CA 90212
Los Angeles County (310) 826-1114
SHERIDAN KATHERINE HENDERSON LMFT
Marriage & Family Therapist
300 S BEVERLY DR, STE 212
BEVERLY HILLS, CA 90212
Los Angeles County (310) 752-1157
DR. SHADI VAHEDIFAR PSY.D
Psychologist (Clinical)
300 S BEVERLY DR
BEVERLY HILLS, CA 90212
Los Angeles County (310) 742-9413
DR. GLEN MICHAEL WOOL M.D.
Internal Medicine
300 S BEVERLY DR, SUITE #108
BEVERLY HILLS, CA 90212
Los Angeles County (310) 556-7991

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 Naz Khodayari's NPI number?

The NPI number for Naz Khodayari is 1770607624. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Naz Khodayari located?

Naz Khodayari practices at 300 S Beverly Dr Suite 411, Beverly Hills, CA 90212. The listed phone number is (310) 553-0109.

What is Naz Khodayari's specialty?

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

Is Naz Khodayari enrolled in Medicare?

No. Naz Khodayari has opted out of Medicare through February 3, 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 Naz Khodayari was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.