Shantel Noghrey Ramin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105585 Issued in CA

Practice address

2903 Delaware Ave
Santa Monica, CA 90404-5014

Phone

(818) 468-8155

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shantel Noghrey Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1013524800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 DELAWARE AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045014",
            "telephone_number": "818-468-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 DELAWARE AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045014",
            "telephone_number": "818-468-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIN",
        "first_name": "SHANTEL",
        "middle_name": "NOGHREY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTEL",
            "last_name": "NOGHREY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sagar Hitendra Rambhia, MD
• Ramer Santa Monica Chiropractic Clinic Inc
• Pamela Ramer, D.C.
• Sandra Jean Ramer, MD
• Ramin Farzam DDS Inc
• Carlos Ramirez
• Luis Ramirez
• Veronica Ramirez
• Shahira Ramji, M.D.
• Adela Elizabeth Ramos

• General Practice Dentistry in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.