Active NPI
Ramyar Elyassian DDS Inc
- Dental Clinic/Center
- Tustin, CA
National Provider Identifier
1578865135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 49877
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.