Organization Active NPI

P Ramtin DDS Inc

  • General Practice Dentistry
  • Pacoima, CA
National Provider Identifier
1245547009
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56049 Issued in CA
Legal business name
P RAMTIN DDS INC
Practice address
13564 Van Nuys Blvd
Pacoima, CA 91331-3054
Phone
(818) 897-5771
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Arlene F Young
Title
Manager
Phone
(619) 929-6899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 56049 CA Primary

Addresses

Primary practice location

13564 Van Nuys Blvd
Pacoima, CA 91331-3054

Mailing address

13564 Van Nuys Blvd
Pacoima, CA 91331-3054
Phone (818) 897-5771

Other names 2

  • A New Smile Dental Group Doing business as
  • SmileWell Dental Doing business as

National Provider Directory

National Provider Directory

Locations

13564 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 897-5771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1245547009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13564 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313054",
            "telephone_number": "818-897-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13564 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313054",
            "telephone_number": "818-897-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P RAMTIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-929-6899"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SmileWell Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.