Individual provider Active NPI

Kia Ramezani, DDS

  • Dentist
  • Newport Beach, CA
National Provider Identifier
1699954107
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56380 Issued in CA
Practice address
6 Cottonwood
Newport Beach, CA 92657-1657
Phone
(714) 833-9070
Fax
(949) 461-0030
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56380 CA Primary

Addresses

Primary practice location

6 Cottonwood
Newport Beach, CA 92657-1657

Mailing address

6 Cottonwood
Newport Beach, CA 92657-1657
Phone (714) 833-9070

Other identifiers 1

IdentifierTypeStateIssuer
D56380MedicaidCA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kia Ramezani, DDS Inc. CurrentSince Apr 14, 2024 Accepting new patients

Locations

2700 S Bristol St
Santa Ana, CA 92704
Phone (714) 966-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1699954107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COTTONWOOD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926571657",
            "telephone_number": "714-833-9070",
            "fax_number": "949-461-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COTTONWOOD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926571657",
            "telephone_number": "714-833-9070",
            "fax_number": "949-461-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEZANI",
        "first_name": "KIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D56380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.