Naramsin Ashoormaram, DMD

Key facts

NPI

1013402841

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

D011034 (AZ)

Practice address

3885 S Arizona Ave Ste 3
Chandler, AZ 85248-0917

Phone

(480) 782-1555

NPI assigned

Jun 25, 2018

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Las Tiendas Dental Group, LLP General Practice Dentistry · Chandler, AZ · NPI 1609962760
  NPD (past) GENERAL PRACTICE
• Freeport Dental General Practice Dentistry · Freeport, IL · NPI 1891165643
  NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2021.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1013402841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 S ARIZONA AVE STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480917",
            "telephone_number": "480-782-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 S ARIZONA AVE STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480917",
            "telephone_number": "480-782-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHOORMARAM",
        "first_name": "NARAMSIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011034",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Chandler, AZ · General Practice Dentistry in Arizona