Active NPI
Rammiz J Khoury, D.M.D
- Dentist
- Swartz Creek, MI
National Provider Identifier
1316438666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600232
- Practice address
- 6203 Miller Rd Ste a
Swartz Creek, MI 48473-1597 - Phone
- (810) 635-8446
- NPI assigned
- May 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 2901600232 | MI | Primary |
Addresses
Primary practice location
6203 Miller Rd Ste a
Swartz Creek, MI 48473-1597
Mailing address
38117 Lordstown Dr
Sterling Heights, MI 48312-1641
Phone (615) 569-8900
Other practice location 1
G3535 Beecher Rd Ste J
Flint, MI 48532-2700
Phone (810) 230-7483
Other names 1
- Dr. Rayz J Khoury
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725000772 | MI | Order and Referring Only - Dentist | 3779830534 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600232 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rami Nazarian DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Genesee Family Dentistry
- General Practice Dentistry
- Flint, MI
- NPI 1174120976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1316438666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38117 LORDSTOWN DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483121641",
"telephone_number": "615-569-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6203 MILLER RD STE A",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484731597",
"telephone_number": "810-635-8446"
}
],
"practiceLocations": [
{
"address_1": "G3535 Beecher Rd Ste J",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485322700",
"country_code": "US",
"telephone_number": "810-230-7483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOURY",
"first_name": "RAMMIZ",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAYZ",
"last_name": "KHOURY",
"middle_name": "J",
"prefix": "DR.",
"credential": "D.M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Swartz Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.