Romina Agharokh Aznavaleh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859462 Issued in MA

Practice address

18627 Wooded CRK
San Antonio, TX 78259-3315

Phone

(210) 630-0540

NPI assigned

Jun 9, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1174252662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MA-28",
            "city": "WEST HARWICH",
            "state": "MA",
            "postal_code": "02671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18627 WOODED CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593315",
            "telephone_number": "210-630-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZNAVALEH",
        "first_name": "ROMINA",
        "middle_name": "AGHAROKH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859462",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "25024419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rominaaznavaleh@gmail.com",
            "affiliation": "N",
            "address_1": "18627 Wooded Crk",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782593315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Huma Aziz, IONM
• Shahid Aziz, M.D.
• Wesam Sabri Aziz, M.D.
• Giti Azmabalani, DO
• Ramsha Azmat, CCP, LP
• Azreena Thomas Mdpa
• Andrea Azua Gonzales, MS, CCC-SLP
• Adrianna Nicole Azua, FNP-BC
• Abdallah Azzam, DC
• B Tano, M.D., P.a. (The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH))

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.