Active NPI
Kasra Rafia, DDS
- Dentist
- Portland, OR
National Provider Identifier
1407940372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7472
- Practice address
- 930 NW 14TH Ave
220
Portland, OR 97209 - Phone
- (503) 889-8632
- Fax
- (503) 223-1919
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7472 | OR | Primary |
Addresses
Primary practice location
930 NW 14TH Ave
220
Portland, OR 97209
Mailing address
930 NW 14TH Ave
220
Portland, OR 97209
Phone (503) 889-8632
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
| License | State | Type | Specialty |
|---|---|---|---|
| D7472 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafia Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Portland, OR
- NPI 1134521834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407940372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 NW 14TH AVE",
"address_2": "220",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97209",
"telephone_number": "503-889-8632",
"fax_number": "503-223-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 NW 14TH AVE",
"address_2": "220",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97209",
"telephone_number": "503-889-8632",
"fax_number": "503-223-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFIA",
"first_name": "KASRA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D7472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.