Individual provider Active NPI

Rima Melik-Bakhshyan, DMD

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1861035651
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS103829 Issued in CA
Practice address
7369 Day Creek Blvd Ste F-103
Rancho Cucamonga, CA 91739-8020
Phone
(909) 646-7902
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 DDS103829 CA Primary

Addresses

Primary practice location

7369 Day Creek Blvd Ste F-103
Rancho Cucamonga, CA 91739-8020

Mailing address

7369 Day Creek Blvd Ste F-103
Rancho Cucamonga, CA 91739-8020

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
I20200208000206 CA Order and Referring Only - DentistPractitioner - Dentist 0547696619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103829CAMDClinical Social Worker
DDS103829CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ghazal and Hsieh Dental Corporation General Practice PastSince Oct 27, 2019 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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1861035651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 DAY CREEK BLVD STE F-103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 DAY CREEK BLVD STE F-103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398020",
            "telephone_number": "909-646-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIK-BAKHSHYAN",
        "first_name": "RIMA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.