Individual provider Active NPI

Ramin Aaron Naziri, DDS

  • General Practice Dentistry
  • Agoura Hills, CA
National Provider Identifier
1205040573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44039 Issued in CA
Practice address
30313 Canwood St Ste 36
Agoura Hills, CA 91301-2094
Phone
(818) 735-3800
Fax
(818) 707-3563
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44039 CA Primary

Addresses

Primary practice location

30313 Canwood St Ste 36
Agoura Hills, CA 91301-2094

Mailing address

30313 Canwood St Ste 36
Agoura Hills, CA 91301-2094
Phone (818) 735-3800

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
44039CAMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205040573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 36",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012094",
            "telephone_number": "818-735-3800",
            "fax_number": "818-707-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 36",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012094",
            "telephone_number": "818-735-3800",
            "fax_number": "818-707-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIRI",
        "first_name": "RAMIN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.