Farshad Rouhani, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D008764 Issued in AZ

Practice address

10401 E McDowell Mountain Ranch Rd Ste 130
Scottsdale, AZ 85255

Phone

(480) 508-6501

NPI assigned

Jul 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Country Club Dental Inc.

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1417121880
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1790127744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 E MCDOWELL MOUNTAIN RANCH RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557525",
            "telephone_number": "480-508-6501",
            "fax_number": "480-758-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 E MCDOWELL MOUNTAIN RANCH RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-508-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHANI",
        "first_name": "FARSHAD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7134 - 15",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Roth, RN
• Richard Rothen, FP
• Alyssa Rothermel
• Randi Rotwein, M.A., LMFT
• Andrew Roubos, OD
• Robert Ramtin Rouhani, D.D.S
• Mazen Roumia, MD
• Tamara Elizabeth Rounds, MSW
• Kerri Katherine Kalivas Rouse, MD
• Kristen Rouse, PT

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.