Individual provider Active NPI

Neusha Ashley Rahmati, DDS

  • General Practice Dentistry
  • Bentleyville, PA
National Provider Identifier
1407427115
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044438 Issued in TX
Practice address
147 Wilson Rd
Bentleyville, PA 15314-1027
Phone
(724) 239-3533
NPI assigned
Jul 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS044438 TX Primary

Addresses

Primary practice location

147 Wilson Rd
Bentleyville, PA 15314-1027

Mailing address

147 Wilson Rd
Bentleyville, PA 15314-1027
Phone (724) 239-3533

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
DS044438TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bentleyville Sedation Dentistry PC CurrentSince Nov 3, 2024 Accepting new patients
Denton Modern Dentistry and Orthodontics PC Multi-Specialty PastSince Jul 1, 2021 Accepting new patients
Dr. Joel S. Rozen & Associates PC General Practice PastSince Nov 3, 2024 Accepting new patients
Dental Office of Prosper,PC General Practice PastSince Jul 1, 2021 Accepting new patients

Locations

147 Wilson Rd
Bentleyville, PA 15314
Phone (724) 200-2994

Organizations & group practices 4

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": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1407427115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMATI",
        "first_name": "NEUSHA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "DS044438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentleyville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.