Individual provider

Behnam Fakhravar, DMD, MS

Periodontics Medicare enrolled

Behnam Fakhravar, DMD, MS is a provider specialising in Periodontics in Vancouver, WA, registered under NPI 1700164969. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 322 SE 192ND AVE STE 100, Vancouver, WA 98683. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

322 SE 192ND AVE STE 100, Vancouver, WA 98683 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DE60231686 WA Periodontics primary
DDS61887 CA Periodontics
1001779 WI Periodontics
28573 TX Periodontics
D9565 OR Periodontics

Licences are recorded in 5 states: WA, CA, WI, TX, OR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Dentist
PAC ID
3274847710
Enrollment ID
I20150728006442

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 5 states

This provider holds licences in 5 states: California, Oregon, Texas, Washington and Wisconsin. The practice address on file is in Vancouver, WA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
DDS61887
Specialty
Periodontics
Verify with the CA board →
OR Oregon
Licence
D9565
Specialty
Periodontics
Verify with the OR board →
TX Texas
Licence
28573
Specialty
Periodontics
Verify with the TX board →
WA Washington practice address
Licence
DE60231686
Specialty
Periodontics
Verify with the WA board →
WI Wisconsin
Licence
1001779
Specialty
Periodontics
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Periodontics covers

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. NUCC Health Care Provider Taxonomy, code 1223P0300X
Dental Providers Dentist Periodontics

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223P0300X Periodontics Periodontics DE60231686 WA primary
1223P0300X Periodontics Periodontics DDS61887 CA
1223P0300X Periodontics Periodontics 1001779 WI
1223P0300X Periodontics Periodontics 28573 TX
1223P0300X Periodontics Periodontics D9565 OR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1700164969 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 21, 2011
Last updatedFeb 20, 2020
StatusActive
Sole proprietorYes
CredentialDMD, MS
Practice address 322 SE 192ND AVE STE 100
Vancouver, WA 98683
(219) 360-9587
The last update on file is Feb 20, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1700164969 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 0 0 1 6 4 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 0 0 2 6 8 9 3

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1700164969?
NPI 1700164969 is the National Provider Identifier assigned to Behnam Fakhravar, DMD, MS in Vancouver, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Periodontics cover?
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.
How do I contact Behnam Fakhravar, DMD, MS?
The phone number on file with NPPES is (219) 360-9587, last updated Feb 20, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Behnam Fakhravar, DMD, MS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1700164969 a valid number?
Yes. 1700164969 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.