Individual provider Active NPI

Ramin Rod Ghanbari

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1184514150
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8034 Issued in OK
Practice address
14810 Serenita Ave
Oklahoma City, OK 73134-2028
Phone
(405) 748-5000
NPI assigned
Jul 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 8034 OK Primary

Addresses

Primary practice location

14810 Serenita Ave
Oklahoma City, OK 73134-2028

Mailing address

18624 Wolf Creek Dr
Edmond, OK 73012-4101
Phone (405) 474-5679

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
8034OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Designs in Dentistry General Practice CurrentSince Jul 13, 2025 Accepting new patients

Locations

14810 Serenita Ave
Oklahoma City, OK 73134
Phone (405) 748-5000

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1184514150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18624 WOLF CREEK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124101",
            "telephone_number": "405-474-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 SERENITA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342028",
            "telephone_number": "405-748-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANBARI",
        "first_name": "RAMIN",
        "middle_name": "ROD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "8034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.