Amanda Rafi, DMD Apdc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

AMANDA RAFI, DMD APDC

Practice address

14591 Newport Ave Ste 108
Tustin, CA 92780-6026

Phone

(480) 510-8888

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Rafi, DMD

Title

Owner

Phone

(480) 510-8888

Specialties & licenses 2

Addresses

Other names 1

• Rafi Dental Group Doing business as

Tax ID family

Amanda Rafi DMD Apdc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amanda Rafi, DMD Apdc

  • Dentist
  • Tustin, CA
  • NPI 1902362973
  NPD tax ID

Locations

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1225513583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE STE 108",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "949-771-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE STE 108",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "480-510-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA RAFI, DMD APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "RAFI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-510-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rafi Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angel Amaro
• Amd Transport
• Amelia Ramirez Orduna DDS Inc
• Amena Pharmacy Corp

• All providers in Tustin, CA
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.