Individual provider Active NPI

Armaun Karimzadeh, DDS

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1013390780
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109157 Issued in CA
Practice address
3694 Hilborn Rd Ste 100
Fairfield, CA 94534-7994
Phone
(707) 422-5444
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012370A IN
General Practice Dentistry 1223G0001X 109157 CA Primary

Addresses

Primary practice location

3694 Hilborn Rd Ste 100
Fairfield, CA 94534-7994

Mailing address

3100 Zinfandel Dr Ste 400
Rancho Cordova, CA 95670-6391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926002187 IN Order and Referring Only - DentistPractitioner - Dentist 2062786379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109157CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Indy East Smiles Youth Dentistry LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1013390780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ZINFANDEL DR STE 400",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347994",
            "telephone_number": "707-422-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMZADEH",
        "first_name": "ARMAUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012370A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.