MAHDAD NASSIRI D.D.S
NPI 1891136768
Dentist - Periodontics in Petaluma, CA

Q: What is Mahdad Nassiri's NPI number?

The NPI number for Mahdad Nassiri is 1891136768. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Q: What is Mahdad Nassiri's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mahdad Nassiri was last updated on September 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 08, 2013PECOS Enrolled

1416 PROFESSIONAL DR STE 202, PETALUMA, CA 94954(707) 769-1162 Get Directions Write a Review

NPPES record last updated: September 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mahdad Nassiri D.d.s NPPES

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

MAHDAD NASSIRI D.D.S (NPI 1891136768) is an individual periodontics provider in Petaluma, California, licensed in California (DDS100289) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891136768

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameMAHDAD NASSIRICredential: D.D.S

Location Address1416 PROFESSIONAL DR STE 202Petaluma, CA 94954-5108

Mailing Address1416 Professional Dr Ste 202Petaluma, CA 94954-5108 · (707) 769-1162

Phone(707) 769-1162

Sole ProprietorYes

Enumeration DateJuly 8, 2013

Last NPPES UpdateSeptember 16, 2023

NPPES CertifiedSeptember 16, 2023

✔ NPI 1891136768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · DDS100289

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.

1416 PROFESSIONAL DR STE 202, Petaluma, CA 94954

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Accepted Insurance

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

Mahdad Nassiri D.d.s 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 94954 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 Mahdad Nassiri's NPI number?

The NPI number for Mahdad Nassiri is 1891136768. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Mahdad Nassiri located?

Mahdad Nassiri practices at 1416 Professional Dr Ste 202, Petaluma, CA 94954. The listed phone number is (707) 769-1162.

What is Mahdad Nassiri's specialty?

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

Is Mahdad Nassiri enrolled in Medicare?

Yes. Mahdad Nassiri is registered in the Medicare PECOS enrollment system.

What insurance does Mahdad Nassiri accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Mahdad Nassiri 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 Mahdad Nassiri was last updated on September 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.