Individual provider Active NPI

Ramin Heidari, DMD

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1508476813
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39313 Issued in TX
Practice address
10914 Hefner Pointe Dr Ste 300
Oklahoma City, OK 73120-5070
Phone
(405) 835-3332
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8162 OK
General Practice Dentistry 1223G0001X 11326 TN
Dentist 122300000X 39313 TX Primary

Addresses

Primary practice location

10914 Hefner Pointe Dr Ste 300
Oklahoma City, OK 73120-5070

Mailing address

1229 Wexford Downs LN
Nashville, TN 37211-8527
Phone (615) 944-0357

Other practice location 1

16374 Hotchkiss Valley Rd E
Loudon, TN 37774-6064
Phone (865) 229-6158

Other practice location 2

100 N Central Expy Ste 130
Richardson, TX 75080-0129
Phone (972) 808-6008

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
39313TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Damon Dental and Implant Center, PLLC Dentist PastSince Mar 3, 2024 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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1508476813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 WEXFORD DOWNS LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118527",
            "telephone_number": "615-944-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10914 HEFNER POINTE DR STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205070",
            "telephone_number": "405-835-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16374 Hotchkiss Valley Rd E",
            "address_purpose": "LOCATION",
            "city": "Loudon",
            "state": "TN",
            "postal_code": "377746064",
            "country_code": "US",
            "telephone_number": "865-229-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Central Expy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750800129",
            "country_code": "US",
            "telephone_number": "972-808-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDARI",
        "first_name": "RAMIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "8162",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11326",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.