Organization Active NPI

Rafeeq N. Rahman D.D.S.

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1003131665
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55809 Issued in CA
Legal business name
RAFEEQ N. RAHMAN D.D.S.
Practice address
1761 W Romneya Dr Ste J
Anaheim, CA 92801-1816
Phone
(714) 635-6300
Fax
(714) 776-8883
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rafeeq Naina Rahman, D.D.S.
Title
Dentist/Owner
Phone
(714) 635-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55809 CA Primary

Addresses

Primary practice location

1761 W Romneya Dr Ste J
Anaheim, CA 92801-1816

Mailing address

1761 W Romneya Dr Ste J
Anaheim, CA 92801-1816
Phone (714) 635-6300

National Provider Directory

National Provider Directory

Locations

1761 W Romneya Dr
Ste J
Anaheim, CA 92801
Phone (714) 535-4844

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1003131665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR STE J",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-635-6300",
            "fax_number": "714-776-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR STE J",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-635-6300",
            "fax_number": "714-776-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFEEQ N. RAHMAN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "RAFEEQ",
        "authorized_official_middle_name": "NAINA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-635-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.