Individual provider Active NPI

Raihan Mohammed Nazir, DDS, M.SC

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1770700098
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45156 Issued in CA
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

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45156 CA
Dental Clinic/Center 261QD0000X 45156 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1427714252OtherCANPT TYPE 2
45156OtherCADENTIST

Electronic endpoints 3

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
45156CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raihan Nazir DDS, Inc General Practice CurrentSince Nov 1, 2021 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.

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.

Verify at the official NPI Registry.