Individual provider Active NPI

Rami Nazarian, DDS

  • Dentist
  • Flint, MI
National Provider Identifier
1366970063
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022259 Issued in MI
Practice address
G3535 Beecher Rd Ste J
Flint, MI 48532-2700
Phone
(810) 230-7483
Fax
(810) 230-2660
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022259 MI Primary

Addresses

Primary practice location

G3535 Beecher Rd Ste J
Flint, MI 48532-2700

Mailing address

G3535 Beecher Rd Ste J
Flint, MI 48532-2700
Phone (810) 230-7483

Other names 1

  • Rami Nazar Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809002624 MI Order and Referring Only - DentistPractitioner - Dentist 1456622422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Khoury Dental PLLC Current Accepting new patients
Rami Nazarian DDS PLLC CurrentSince Oct 11, 2020 Accepting new patients
Nazarian PLLC Current Accepting new patients
Professional Dental Alliance of Michigan, LLC Dentist Past Accepting new patients
Shoreline Dental Center Dentist Past Accepting new patients

Locations

G3535 Beecher Rd
Ste J
Flint, MI 48532
Phone (810) 230-7483

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1366970063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3535 BEECHER RD STE J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322700",
            "telephone_number": "810-230-7483",
            "fax_number": "810-230-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3535 BEECHER RD STE J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322700",
            "telephone_number": "810-230-7483",
            "fax_number": "810-230-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "RAMI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMI",
            "last_name": "NAZAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.