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DR. ALIREZA KHANSARI DDS, MSD
NPI 1821183864
Dentist - Periodontics in Poway, CA

Active since October 04, 2006PECOS Enrolled
12630 MONTE VISTA ROAD. #204, POWAY, CA 92064(858) 679-0142(858) 679-0165 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alireza Khansari Dds, Msd NPPES

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

DR. ALIREZA KHANSARI DDS, MSD (NPI 1821183864) is an individual periodontics provider in Poway, California, licensed in California (49590) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821183864
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ALIREZA KHANSARICredential: DDS, MSD
Location Address12630 MONTE VISTA ROAD. #204Poway, CA 92064
Mailing Address12630 Monte Vista Road. #204Poway, CA 92064 · (858) 679-0142 · Fax (858) 679-0165
Phone(858) 679-0142
Fax(858) 679-0165
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 5, 2025
✔ NPI 1821183864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 49590
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.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. Alireza Khansari Dds, Msd 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 92064 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 Alireza Khansari's NPI number?

The NPI number for Alireza Khansari is 1821183864. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Alireza Khansari located?

Alireza Khansari practices at 12630 Monte Vista Road. #204, Poway, CA 92064. The listed phone number is (858) 679-0142.

What is Alireza Khansari's specialty?

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

Is Alireza Khansari enrolled in Medicare?

Yes. Alireza Khansari is registered in the Medicare PECOS enrollment system.

What insurance does Alireza Khansari accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Alireza Khansari 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 Alireza Khansari was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.