Farnaz Iranpour- Boroujeni

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022055 Issued in OH

Practice address

1041 Old US-52
New Richmmond Dental Associates
New Richmond, OH 45157

Phone

(513) 553-5333

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• New Richmond Dental Associates

  • Dentist
  • New Richmond, OH
  • NPI 1407023559
  NPD (past) Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1821015751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9482 HUNTERS CREEK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426660",
            "telephone_number": "513-407-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 OLD US-52",
            "address_2": "NEW RICHMMOND DENTAL ASSOCIATES",
            "city": "NEW RICHMOND",
            "state": "OH",
            "postal_code": "45157",
            "telephone_number": "513-553-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANPOUR- BOROUJENI",
        "first_name": "FARNAZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12048",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2563597",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Edmund Hadley
• Healthsource of Ohio, Inc.
• Healthsource of Ohio, Inc.
• Nancy M Hoffman, CNP
• Ronald Lee Hoover, PH.D
• Brian P. Jones
• Barbara Kelly
• Anita Ann Lenhardt
• Tracy Maguire, SLP
• Kerren Marcelo, CD

• General Practice Dentistry in New Richmond, OH
• Providers in New Richmond, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.