Active NPI
Raihan Mohammed Nazir, DDS, M.SC
- General Practice Dentistry
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45156
- Practice address
- 505 S Villa Real Ste 101B
Anaheim, CA 92807-3432 - Phone
- (714) 974-4332
- Fax
- (714) 921-3194
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 45156 | CA | |
| Dental Clinic/Center | 261QD0000X | 45156 | CA | |
| General Practice Dentistry | 1223G0001X | 45156 | CA | Primary |
Addresses
Primary practice location
505 S Villa Real Ste 101B
Anaheim, CA 92807-3432
Mailing address
505 S Villa Real
Suite 101-B
Anaheim, CA 92807-3445
Phone (714) 974-4332
Other practice location 1
300 E Yorba Linda Blvd Ste C
Placentia, CA 92870-2910
Phone (714) 528-3383
Other practice location 2
601 Dover Dr Ste 12
Newport Beach, CA 92663-5721
Phone (949) 650-0222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427714252 | Other | CA | NPT TYPE 2 |
| 45156 | Other | CA | DENTIST |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@smilemagicdentistry.com | Direct | |
| Direct Messaging Address | admin@smilemagicdentistry.com | Direct | |
| Direct Messaging Address | admin@smilemagicdentistry.com | Direct |
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 |
|---|---|---|---|
| 45156 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raihan Nazir DDS, Inc | General Practice | Current | Accepting new patients |
Locations
505 S Villa Real
Ste 101B
Anaheim, CA 92807
Phone (714) 974-4332
601 Dover Dr
Ste 12
Newport Beach, CA 92663
Phone (949) 650-0222
300 E Yorba Linda Blvd
Ste C
Placentia, CA 92870
Phone (714) 528-3383
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1427714252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1770700098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S VILLA REAL",
"address_2": "SUITE 101-B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073445",
"telephone_number": "714-974-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S VILLA REAL STE 101B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073432",
"telephone_number": "714-974-4332",
"fax_number": "714-921-3194"
}
],
"practiceLocations": [
{
"address_1": "300 E Yorba Linda Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Placentia",
"state": "CA",
"postal_code": "928702910",
"country_code": "US",
"telephone_number": "714-528-3383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Dover Dr Ste 12",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926635721",
"country_code": "US",
"telephone_number": "949-650-0222",
"fax_number": "949-650-0221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZIR",
"first_name": "RAIHAN",
"middle_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "DDS, M.SC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45156",
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "45156",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPT TYPE 2",
"identifier": "1427714252",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "45156",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@smilemagicdentistry.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "505 S Villa Real Ste 101B",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073432",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@smilemagicdentistry.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "601 Dover Dr Ste 12",
"city": "Newport Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926635721",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@smilemagicdentistry.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 E Yorba Linda Blvd Ste C",
"city": "Placentia",
"state": "CA",
"country_code": "US",
"postal_code": "928702910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.