Individual provider Active NPI

Rita Rostami Asrabadi

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1134470586
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D07886 Issued in AZ
Practice address
1731 W Baseline Rd Ste 104
Mesa, AZ 85202-5730
Phone
(480) 755-1200
Fax
(480) 755-0155
NPI assigned
Sep 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D07886 AZ Primary

Addresses

Primary practice location

1731 W Baseline Rd Ste 104
Mesa, AZ 85202-5730

Mailing address

6429 S 43Rd PL
Phoenix, AZ 85042-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D07886AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rostami & Associates PLC 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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1134470586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 S 43RD PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025730",
            "telephone_number": "480-755-1200",
            "fax_number": "480-755-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAMI ASRABADI",
        "first_name": "RITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D07886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.