Active NPI
Ramez Riad, DDS, MSC, BDS
- Dentist
- Tustin, CA
National Provider Identifier
1609543347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS106607
- Practice address
- 14051 Newport Ave Ste B2
Tustin, CA 92780-5171 - Phone
- (949) 491-0640
- NPI assigned
- Aug 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS106607 | CA | Primary |
Addresses
Primary practice location
14051 Newport Ave Ste B2
Tustin, CA 92780-5171
Mailing address
827 Piccolo
Irvine, CA 92620-1715
Phone (949) 491-0640
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 |
|---|---|---|---|
| DDS106607 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630195200000",
"number": "1609543347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 PICCOLO",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201715",
"telephone_number": "949-491-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14051 NEWPORT AVE STE B2",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927805171",
"telephone_number": "949-491-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIAD",
"first_name": "RAMEZ",
"credential": "DDS, MSC, BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-29",
"last_updated": "2021-08-29",
"certification_date": "2021-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS106607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.