Active NPI
Ramin Damadzadeh, DDS
- Prosthodontics
- Phoenix, AZ
National Provider Identifier
1568471035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D4649
- Practice address
- 4338 W Thomas Rd Ste E6
Phoenix, AZ 85031-3878 - Phone
- (602) 233-2212
- Fax
- (602) 455-0070
- NPI assigned
- Aug 5, 2006
- Last updated
- Feb 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4649 | AZ | |
| Dentist | 122300000X | 51814 | CA | |
| Prosthodontics | 1223P0700X | D4649 | AZ | Primary |
Addresses
Primary practice location
4338 W Thomas Rd Ste E6
Phoenix, AZ 85031-3878
Mailing address
4805 W Thomas Road
Suite C
Phoenix, AZ 85031
Phone (602) 233-2212
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 |
|---|---|---|---|
| 51814 | CA | MD | Dentist |
| D4649 | AZ | MD | Prosthodontist |
| 4649 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Dental Care | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Phoenix, AZ
- NPI 1609152354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1568471035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 W THOMAS ROAD",
"address_2": "SUITE C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85031",
"telephone_number": "602-233-2212",
"fax_number": "602-455-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4338 W THOMAS RD STE E6",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850313878",
"telephone_number": "602-233-2212",
"fax_number": "602-455-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMADZADEH",
"first_name": "RAMIN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "4649",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "51814",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "AZ",
"license": "D4649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.