Individual provider Active NPI

Ammar Rasheed

  • Dentist
  • Redlands, CA
National Provider Identifier
1699155986
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64506 Issued in CA
Practice address
26630 Barton Rd Apt 2018
Redlands, CA 92373-4329
Phone
(913) 284-4220
NPI assigned
Jun 2, 2015
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64506 CA Primary

Addresses

Primary practice location

26630 Barton Rd Apt 2018
Redlands, CA 92373-4329

Mailing address

26630 Barton Rd Apt 2018
Redlands, CA 92373-4329
Phone (913) 284-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724002657 CA Order and Referring Only - DentistPractitioner - Dentist 5698135531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64506CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1699155986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26630 BARTON RD APT 2018",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734329",
            "telephone_number": "913-284-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26630 BARTON RD APT 2018",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734329",
            "telephone_number": "913-284-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "AMMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.