Iman Attar

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

004130 Issued in OH

Practice address

2828 Euclid Ave Apt 207
Cleveland, OH 44115-2470

Phone

(619) 592-5336

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1831745868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 CHESTER AVE # 222",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 EUCLID AVE APT 207",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152470",
            "telephone_number": "619-592-5336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061712",
            "country_code": "US",
            "telephone_number": "216-368-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTAR",
        "first_name": "IMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "004130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atoc Professional Services
• Precilla Jones Atol
• Vivian Atsu
• Sarah Atta
• Vikram Attaluri, MD
• Marjan Attaran, MD
• Alfred Chris Attaway Jr.
• Amy Houghton Attaway, MD
• Attentive Homecare Services LLC
• Guilherme Attizzani

• Endodontics in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.