Amir Ebrahim Kazim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100077 Issued in CA

Practice address

250 W Ocean Blvd Apt 1606
Long Beach, CA 90802-7945

Phone

(301) 335-1249

NPI assigned

Sep 27, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Practice roles

Networks

• WA PPO C-SNP

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.

• A. Kazim DDS PLLC

  • Dentist
  • Newport Beach, CA
  • NPI 1184492720
  NPD Authorized official
• Amir Kazim Dental

  • Dental Clinic/Center
  • Newport Beach, CA
  • NPI 1568242006
  NPD Authorized official
• Amir Kazim, DDS PLLC

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1003780149
  NPD Authorized official

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1063882504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W OCEAN BLVD APT 1606",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908027945",
            "telephone_number": "301-335-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W OCEAN BLVD APT 1606",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908027945",
            "telephone_number": "301-335-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZIM",
        "first_name": "AMIR",
        "middle_name": "EBRAHIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60587475",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kazan, NP
• Elisabeth Joy Kazanci, AMFT 102095
• Unakem Annette Kazeem
• Diana Kazempoor, FNP
• Maryam Kazemzadeh, M.D.
• Dallas Jamal Kearney
• Danecia Monae Kearney
• Carrie Kebelbeck, M.A.CCC
• Phyllis Keener, N.P.
• Kendall Kehr, PHARMD

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.