Active NPI
Ramin Homanfar, D.D.S.
- Public Health Dentistry
- Reno, NV
National Provider Identifier
1437211455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 2939
- Practice address
- 5420 Kietzke LN Ste 201
Reno, NV 89511-2062 - Phone
- (775) 827-5511
- Fax
- (775) 852-4154
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 2939 | NV | Primary |
Addresses
Primary practice location
5420 Kietzke LN Ste 201
Reno, NV 89511-2062
Mailing address
5420 Kietzke LN Ste 201
Reno, NV 89511-2062
Phone (775) 827-5511
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 |
|---|---|---|---|
| 2939 | NV | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437211455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 KIETZKE LN STE 201",
"city": "RENO",
"state": "NV",
"postal_code": "895112062",
"telephone_number": "775-827-5511",
"fax_number": "775-852-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 KIETZKE LN STE 201",
"city": "RENO",
"state": "NV",
"postal_code": "895112062",
"telephone_number": "775-827-5511",
"fax_number": "775-852-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMANFAR",
"first_name": "RAMIN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NV",
"license": "2939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
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.