Organization Active NPI

Ramyar Elyassian DDS Inc

  • Dental Clinic/Center
  • Tustin, CA
National Provider Identifier
1578865135
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49877 Issued in CA
Legal business name
RAMYAR ELYASSIAN DDS INC
Practice address
12721 Newport Ave Ste 3
Tustin, CA 92780-8031
Phone
(714) 730-3746
Fax
(714) 730-3740
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Ramyar Elyassian, DDS
Title
Periodontist/President
Phone
(714) 730-3746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49877 CA Primary

Addresses

Primary practice location

12721 Newport Ave Ste 3
Tustin, CA 92780-8031

Mailing address

12721 Newport Ave Ste 3
Tustin, CA 92780-8031
Phone (714) 730-3746

Other names 1

  • Dental Implant & Laser Surgical Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

12721 Newport Ave
Ste 3
Tustin, CA 92780
Phone (310) 288-5933

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1578865135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 NEWPORT AVE STE 3",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808031",
            "telephone_number": "714-730-3746",
            "fax_number": "714-730-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 NEWPORT AVE STE 3",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808031",
            "telephone_number": "714-730-3746",
            "fax_number": "714-730-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMYAR ELYASSIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "ELYASSIAN",
        "authorized_official_first_name": "RAMYAR",
        "authorized_official_title_or_position": "PERIODONTIST/PRESIDENT",
        "authorized_official_telephone_number": "714-730-3746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Implant & Laser Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.