NPIMap

Individual provider Active NPI

Rashin Alipour-Tricamo, DDS

  • Dentist
  • Olathe, KS
National Provider Identifier
1447812441
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61644 Issued in KS
Practice address
16587 W 151St St
Olathe, KS 66062-5607
Phone
(913) 286-4548
NPI assigned
Jul 1, 2019
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61644 KS Primary

Addresses

Primary practice location

16587 W 151St St
Olathe, KS 66062-5607

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626

Other practice location 1

2180 W Dartmouth St
Olathe, KS 66061-6690
Phone (913) 732-9408

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL pdsconnect.com Direct
CONNECT URL pdsconnect.com Direct Pacific Dental Services

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
61644KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe South Dentistry, PA Dentist PastSince Jun 22, 2021 Accepting new patients
West Lawrence Dentistry, PA Dentist PastSince May 1, 2020 Accepting new patients
Village West Dentistry, PA Dentist Past Accepting new patients
Olathe West Dentistry, PA Dentist PastSince Sep 15, 2019 Accepting new patients
Brookridge Dentistry, PA Dentist PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1447812441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16587 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625607",
            "telephone_number": "913-286-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2180 W Dartmouth St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660616690",
            "country_code": "US",
            "telephone_number": "913-732-9408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIPOUR-TRICAMO",
        "first_name": "RASHIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pdsconnect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16587 W 151st St",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660625607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pdsconnect.com",
            "affiliation": "Y",
            "affiliationName": "Pacific Dental Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2180 W Dartmouth St",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660616690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.