Morris Nima Ghermezi, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS100474 Issued in CA

Practice address

550 E del Amo Blvd
Carson, CA 90746-3314

Phone

(310) 515-5672

NPI assigned

Aug 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A. Tsibel Dental Corp

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1447012653
  NPD (past)
• Arkady S. Tsibel Dental Corp

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1013779222
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1568917110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S MAPLE DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124610",
            "telephone_number": "310-415-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E DEL AMO BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463314",
            "telephone_number": "310-515-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHERMEZI",
        "first_name": "MORRIS",
        "middle_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100474",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS100474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDS100474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrilyn Hattie Gauer, DO
• Gentle Heart Hospice, Inc.
• Gerry Gee, Optometry
• Reza Ghanian, MD
• Bijan Ghatan, M.D.
• Michelle Renee Gibbs, R.N.
• Kimberly Danielle Gildersleeve
• Ginoza & Nakano, a Chiropractic Corporation
• Archieval H Giron, PT
• Mayra Alexandra Giron

• Oral and Maxillofacial Surgery (Dentist) in Carson, CA
• Providers in Carson, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.