Active NPI
Maryam Rayani, DMD
- Dentist
- Pascoag, RI
National Provider Identifier
1427150515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- RI02861
- Practice address
- 36 Bridge Way
Pascoag, RI 02859-3131 - Phone
- (401) 568-7661
- Fax
- (401) 568-7949
- NPI assigned
- Sep 1, 2006
- Last updated
- Mar 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | RI02861 | RI | Primary |
| General Practice Dentistry | 1223G0001X | MA21158 | MA |
Addresses
Primary practice location
36 Bridge Way
Pascoag, RI 02859-3131
Mailing address
76 Stoney Hill Rd
Shrewsbury, MA 01545-4062
Phone (508) 845-5016
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8458-7 | Other | RI | BCBS |
| AA34986 | Other | RI | HARVARD PILGRIM |
| MR54272 | Medicaid | RI | |
| 257323 | Other | RI | UNITED HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723009355 | RI | Order and Referring Only - Other (Non-Physician) | 2062725732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI02861 | RI | MD | Dentist |
| MA21158 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1427150515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 STONEY HILL RD",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015454062",
"telephone_number": "508-845-5016",
"fax_number": "401-568-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BRIDGE WAY",
"city": "PASCOAG",
"state": "RI",
"postal_code": "028593131",
"telephone_number": "401-568-7661",
"fax_number": "401-568-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYANI",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "RI02861",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "MA21158",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8458-7",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA34986",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MR54272",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "257323",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pascoag, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.