Individual provider Active NPI

Houman Rahnama, DDS

  • General Practice Dentistry
  • Laguna Niguel, CA
National Provider Identifier
1851398010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40979 Issued in CA
Practice address
28940 Golden Lantern
#H
Laguna Niguel, CA 92677-1500
Phone
(949) 363-2010
Fax
(949) 363-2085
NPI assigned
Jul 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40979 CA Primary

Addresses

Primary practice location

28940 Golden Lantern
#H
Laguna Niguel, CA 92677-1500

Mailing address

28940 Golden Lantern
#H
Laguna Niguel, CA 92677-1500
Phone (949) 363-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150129001907 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9335463934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40979CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Houman Rahnama DDS, Inc Past Accepting new patients

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": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851398010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28940 GOLDEN LANTERN",
            "address_2": "#H",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771500",
            "telephone_number": "949-363-2010",
            "fax_number": "949-363-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28940 GOLDEN LANTERN",
            "address_2": "#H",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771500",
            "telephone_number": "949-363-2010",
            "fax_number": "949-363-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHNAMA",
        "first_name": "HOUMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.