Siamak Rafieian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN13918 Issued in FL

Practice address

9914 West Linebaugh Ave
Tampa, FL 33626

Phone

(813) 920-9144

Fax

(813) 920-9155

NPI assigned

Feb 9, 2011

Last updated

Feb 9, 2011By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Park Village Dental Associates Inc

  dba Siamak Rafieian DDS William Campbell DMD

  • Dentist
  • Tampa, FL
  • NPI 1326172024
  NPD (past) Authorized official

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1275839219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9914 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261858",
            "telephone_number": "813-920-9144",
            "fax_number": "813-920-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9914 WEST LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33626",
            "telephone_number": "813-920-9144",
            "fax_number": "813-920-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIEIAN",
        "first_name": "SIAMAK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Raff-Anunciato, D.O.
• Jose A Raffinan Jr.
• Stacy Raffington
• Georges Raffoul, DMD
• Rebecca Raffoul, PA-C
• Pierre Rafla
• Rag Medical Clinic LLC (Phoenix Medical Clinic)
• Diane Raggard Wright
• Raghavendra R Vijayanagar MD PA
• Vaishnavi Raghuram

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.