Ariyan Ravangard, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

057957 Issued in NY

Practice address

4001 Legion Dr
Hamburg, NY 14075-4507

Phone

(716) 815-3636

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

No

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 NY

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

Locations

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.

• Queen City Endodontics

  • Endodontics
  • Hamburg, NY
  • NPI 1730751637
  NPD

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1144633926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LEGION DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754507",
            "telephone_number": "716-815-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LEGION DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754507",
            "telephone_number": "716-815-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVANGARD",
        "first_name": "ARIYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057957",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "057957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeeshan Qureshi, D.O
• Alison Janet Rabbitt, RN IBCLC
• Alyssa Ann Rafalko, COTA
• Kathryn Helen Raffloer
• Suzanne Marie Randle, LPN
• Kelly Ann Ray
• Rebecca Rebello, BCBA
• Krystal Reed, MS, OTR/L
• Teresa Reed
• Patricia D Refermat, R.N.,LMT

• Endodontics in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.