Pouya Namiranian, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS104423 Issued in CA

Practice address

8150 Greenback LN Ste 300
Fair Oaks, CA 95628-2505

Phone

(916) 723-1111

Fax

(916) 723-1112

NPI assigned

Mar 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1710446612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MARBLE CANYON DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307112",
            "telephone_number": "408-410-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 GREENBACK LN STE 300",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282505",
            "telephone_number": "916-723-1111",
            "fax_number": "916-723-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMIRANIAN",
        "first_name": "POUYA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS104423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Murray
• James Musser, D.D.S.
• Archana D Naidu, DDS
• Hasifa Nakajubi
• Youssef Nakhla, PSYD
• National Birth Centers, Inc.
• Uanoa Nelson
• Bethany Neuman
• Nollia Nevarez
• Nicole E Newberry

• Oral and Maxillofacial Surgery (Dentist) in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.