Rush Hejazi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02311700 Issued in NJ

Practice address

901 N Penn St Unit R703
R703
Philadelphia, PA 19123-3147

Phone

(201) 707-5105

NPI assigned

Mar 12, 2007

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 names 1

• Arash Hejazi Former name

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1770615973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PENN ST UNIT R703",
            "address_2": "R703",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233147",
            "telephone_number": "201-707-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PENN ST UNIT R703",
            "address_2": "R703",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233147",
            "telephone_number": "201-707-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJAZI",
        "first_name": "RUSH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02311700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARASH",
            "last_name": "HEJAZI",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth C Heist, D.O.
• Anna Heitz, CRNP
• James W. Heitz, M.D.
• Claudia Hejazi-Garcia
• Emily Hejazi, M.D.
• Sushma Helagalli Paramashivaiah, MD
• Elias Helal, MD
• Andrew Helber, MD
• Ingo Helbig
• Katherine Leigh Helbig, MS, CGC

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.