Nima Iranmanesh, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN24848 Issued in FL

Practice address

2814 W Waters Ave
Tampa, FL 33614-1853

Phone

(813) 933-6705

NPI assigned

May 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prosthodontics & Implant Therapy Inc

  • Dentist
  • Tampa, FL
  • NPI 1033664651
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1265055628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CARROLLWOOD VILLAGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188609",
            "telephone_number": "813-417-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-933-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANMANESH",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN24848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahid Iqbal, M.D.
• Zahida Iqbal, DMD
• Jennifer Irani, M.D.
• Mohammad Reza Iranmanesh, DMD, MSD
• Nika Iranmanesh
• Julia Francesca Irby, ARNP
• Irc Integral Rehabilitation Center
• Ireboot, LLC
• Irecovery, LLC
• Laurencia Irish

• Prosthodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.