Nader Rastgoftar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61222 Issued in KS

Practice address

407 S Clairborne Rd Ste 104
Olathe, KS 66062-1744

Phone

(913) 648-2266

Fax

(913) 768-1944

NPI assigned

Aug 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Health Partnership Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Overland Park, KS
  • NPI 1629651674
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1669858288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLAIRBORNE RD STE 2",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621774",
            "telephone_number": "913-730-3677",
            "fax_number": "913-768-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S CLAIRBORNE RD STE 104",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621744",
            "telephone_number": "913-648-2266",
            "fax_number": "913-768-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTGOFTAR",
        "first_name": "NADER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201130280A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Ramsey
• Hannah Marie Ramsey, LPC
• Claire Louise Ranieri, PHARM D
• Mitchell Ranzenberger
• Adriana Elise Rascanu, DO
• Sara Joyce Ratliff, LPC
• Keith Todd Ratzlaff, MD
• Jessica Antionette Ravizee, M.ED.
• Theresa Ann Rawalt, DDS
• Mason R Ray, PA-C

• General Practice Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.