Roushanak Emam, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39631 Issued in CA

Practice address

703 Welch Road
#A1
Palo Alto, CA 94304

Phone

(650) 321-0340

Fax

(650) 321-1879

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Roshan Emam Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1326215013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 WELCH ROAD",
            "address_2": "#A1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-321-0340",
            "fax_number": "650-321-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 WELCH ROAD",
            "address_2": "#A1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-321-0340",
            "fax_number": "650-321-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAM",
        "first_name": "ROUSHANAK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSHAN",
            "last_name": "EMAM",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Irmina Anna Elliott, MD
• Janette Elizabeth Elliott, RN, MS
• Gabriel Ellison, MD
• Darcie Ellyne, RD
• Yasmin Eltawil, MD
• Hina Emanuel, MD
• Nancy Ndidi Emelife, M.D.
• Leah C Emery, LCSW
• Emily Rd LLC
• Michelle Emmons, NP

• General Practice Dentistry in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.