Active NPI
Ramiz R Petros, D.M.D
- Dentist
- San Jose, CA
National Provider Identifier
1740412956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58708
- Practice address
- 1241 Chateau Dr
San Jose, CA 95120-4710 - Phone
- (408) 644-0475
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58708 | CA | Primary |
Addresses
Primary practice location
1241 Chateau Dr
San Jose, CA 95120-4710
Mailing address
20 Birch St
Redwood City, CA 94062-1409
Phone (650) 701-1111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58708 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dental Group of Ihab M Hanna DDS & Karrishma Jumani DDS Inc | Dentist | Past | Accepting new patients |
| Hanna, DDS, Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Redwood City, CA
- NPI 1275081192
-
- Dentist
- Redwood City, CA
- NPI 1275092082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1740412956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BIRCH ST",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621409",
"telephone_number": "650-701-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 CHATEAU DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951204710",
"telephone_number": "408-644-0475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROS",
"first_name": "RAMIZ",
"middle_name": "R",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.