Individual provider Active NPI

Hassan Beyramian, DDS

  • General Practice Dentistry
  • Surprise, AZ
National Provider Identifier
1396754651
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6373 Issued in AZ
Practice address
15033 W Bell Rd
#175
Surprise, AZ 85374-3217
Phone
(623) 466-6322
Fax
(623) 466-6325
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6373 AZ Primary

Addresses

Primary practice location

15033 W Bell Rd
#175
Surprise, AZ 85374-3217

Mailing address

15033 W Bell Rd
#175
Surprise, AZ 85374-3217
Phone (623) 466-6322

Other identifiers 1

IdentifierTypeStateIssuer
909129MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6373AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Smiles Center LLC General Practice Current Accepting new patients
Westwinddental Downtown Past Accepting new patients

Locations

6135 N 35th Ave
Ste 135
Phoenix, AZ 85017
Phone (602) 780-1611

Organizations & group practices 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1396754651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15033 W BELL RD",
            "address_2": "#175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743217",
            "telephone_number": "623-466-6322",
            "fax_number": "623-466-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15033 W BELL RD",
            "address_2": "#175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743217",
            "telephone_number": "623-466-6322",
            "fax_number": "623-466-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYRAMIAN",
        "first_name": "HASSAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909129",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.