Justin Raanan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

62415 Issued in CA

Practice address

414 N Camden Dr Ste 1240
Beverly Hills, CA 90210-4512

Phone

(310) 205-5315

NPI assigned

Jul 11, 2013

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

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.

Opted out of Medicare

Yes, effective Jul 22, 2019 through Jul 22, 2027

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.

• Raanan Dental Group Brentwood Inc.

  • Dentist
  • Los Angeles, CA
  • NPI 1083309470
  NPD
• Raanan Dental Group Cedars Inc.

  • Dentist
  • Los Angeles, CA
  • NPI 1255026647
  NPD
• Raanan Group Beverly Hills Inc.

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1205539921
  NPD

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1306287974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N CAMDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103026",
            "telephone_number": "310-699-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 1240",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104512",
            "telephone_number": "310-205-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAANAN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R & R Surgical Centers
• R Ray Nettles MD Inc
• R Ray Nettles MD Inc
• R. F. Saldamando DDS Inc
• Raanan Group Beverly Hills Inc.
• Rodney Rabbani
• Farzad N Rabbany, D.C., Q.M.E.
• Stephen Craig Rabin, MD
• Susan Matra Rabizadeh, M.D.
• Rachelle Cohen Psychotherapy, Inc

• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.