Individual provider Active NPI

Ramina Heydarlou

  • Dentist
  • El Paso, TX
National Provider Identifier
1619604832
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39175 Issued in TX
Practice address
100 S Americas Ave Ste a
El Paso, TX 79907-6901
Phone
(915) 858-5862
NPI assigned
Aug 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107724 CA
General Practice Dentistry 1223G0001X 107724 CA
Dentist 122300000X 39175 TX Primary

Addresses

Primary practice location

100 S Americas Ave Ste a
El Paso, TX 79907-6901

Mailing address

100 S Americas Ave Ste a
El Paso, TX 79907-6901
Phone (915) 858-5862

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

LicenseStateTypeSpecialty
39175TXMDCounseling Psychologist
107724CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Dental Care, PLLC Dentist PastSince Feb 26, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1619604832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S AMERICAS AVE STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076901",
            "telephone_number": "915-858-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S AMERICAS AVE STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076901",
            "telephone_number": "915-858-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDARLOU",
        "first_name": "RAMINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107724",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107724",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.