Reza Radmand, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10264 Issued in CT

Practice address

2318 Main St
Stratford, CT 06615-5966

Phone

(203) 375-1649

Fax

(203) 377-5251

NPI assigned

Dec 26, 2006

Last updated

Jul 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEBACD/Endpoint/CEBACD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dental Sleep Medicine of Connecticut, PC

  • Dentist
  • Stratford, CT
  • NPI 1891159026
  Authorized official Same address or phone
• Hospital Dental Associates of Connecticut Inc

  • General Practice Dentistry
  • Stratford, CT
  • NPI 1932522588
  Authorized official Same address or phone
• Reza Radmand DMD, a Dental Corp.

  dba Advanced Dentistry of Connecticut

  • General Practice Dentistry
  • Stratford, CT
  • NPI 1821489279
  Authorized official Same address or phone
• Advanced Dental Sleep Medicine of Connecticut, PC

  • Dentist
  • Worcester, MA
  • NPI 1487175782
  NPD (past) Authorized official
• Advanced Dental Sleep Medicine of Connecticut, PC

  • Dentist
  • Boston, MA
  • NPI 1841727229
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1396800702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155966",
            "telephone_number": "203-375-1649",
            "fax_number": "203-377-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155966",
            "telephone_number": "203-375-1649",
            "fax_number": "203-377-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADMAND",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38118",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G91540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quest Diagnostics LLC
• Blanca Iris Quinones-Rodriguez
• R Journey to Empowerment
• Mark Rabin, PHD FACMG
• Kenneth F Rabine, D.D.S.
• James Patrick Ralabate, MD
• Andres Ramirez, M.D.
• Randolph Ramirez, MD
• Ramos Nutrition Billing LLC (Ramos Nutrition Services)
• George Ramos

• General Practice Dentistry in Stratford, CT
• Providers in Stratford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.