Organization Active NPI

Palm Harbor Dental Associates Inc

Doing business as Siamak Rafieian DDS William Campbell DMD

  • Dentist
  • Palm Harbor, FL
National Provider Identifier
1285758839
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13918 Issued in FL
Legal business name
PALM HARBOR DENTAL ASSOCIATES INC
Doing business as
Siamak Rafieian DDS William Campbell DMD
Practice address
34669 US Hwy 19 N
Palm Harbor, FL 34684
Phone
(727) 986-9144
Fax
(727) 786-9155
NPI assigned
Mar 19, 2007
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST PARK DENTAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Siamak Rafieian, DDS
Title
Owner Dentist
Phone
(727) 786-9144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN3904 FL
Dentist 122300000X DN13918 FL Primary

Addresses

Primary practice location

34669 US Hwy 19 N
Palm Harbor, FL 34684

Mailing address

34669 US Hwy 19 N
Palm Harbor, FL 34684
Phone (727) 986-9144

Other names 1

  • Siamak Rafieian DDS William Campbell DMD Doing business as

National Provider Directory

National Provider Directory
Part of
West Park Village Dental Associates Inc

Locations

34669 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 986-9144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1285758839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34669 US HWY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-986-9144",
            "fax_number": "727-786-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34669 US HWY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-986-9144",
            "fax_number": "727-786-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR DENTAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST PARK DENTAL ASSOCIATES",
        "enumeration_date": "2007-03-19",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "RAFIEIAN",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "727-786-9144",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN3904",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siamak Rafieian DDS William Campbell DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.