Raniah Al Bayati
Individual provider Active NPI General Practice Dentistry · Placerville, CA
NPI 1083308563 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1083308563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 18683 (CA)
- Practice address
- 4212 Missouri Flat Rd
Placerville, CA 95667-6269 - Phone
- (530) 621-7700
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814000530 | CA | Order and Referring Only - Dentist |
8224536610 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112004 | CA | MD | Marriage & Family Therapist |
| 18683 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 18683 | CA | Yes |
Addresses
Primary practice location
4212 Missouri Flat Rd
Placerville, CA 95667-6269
Mailing address
4212 Missouri Flat Rd
Placerville, CA 95667-6269
Phone (530) 621-7700
Other names
- Raniah Al Bayati
Other providers in Placerville, CA
- Patrizia Ahlers
- Shana Aidnik
- Crista Jane Aivaliotis I
- Ketan P Ajudia
- Bruce K Akinaka
- Jessica H Albin
- Monic Alcorn
- Alex Keith, DMD, Dental Corporation
- Joe Alfeghaly
- Allagi Behavioral Health Services Inc
All providers in Placerville, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.