Individual provider Active NPI

Robert Ramtin Rouhani, D.D.S

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1457560518
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5469 Issued in AZ
Practice address
13402 N Scottsdale Rd
Suite A110
Scottsdale, AZ 85254-4054
Phone
(480) 951-2800
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D5469 AZ Primary

Addresses

Primary practice location

13402 N Scottsdale Rd
Suite A110
Scottsdale, AZ 85254-4054

Mailing address

8126 E Appaloosa TRL
Scottsdale, AZ 85258-1327
Phone (480) 998-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028002868 AZ Order and Referring Only - DentistPractitioner - Dentist 0244549475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D5469AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Concepts General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1457560518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8126 E APPALOOSA TRL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581327",
            "telephone_number": "480-998-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N SCOTTSDALE RD",
            "address_2": "SUITE A110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544054",
            "telephone_number": "480-951-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHANI",
        "first_name": "ROBERT",
        "middle_name": "RAMTIN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.