Runaz Barzangy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11800 Issued in OR

Practice address

4823 Meadows Rd Ste 131
Lake Oswego, OR 97035-2622

Phone

(503) 334-0351

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Locations

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.

• Lake Oswego Modern Dentistry, PC

  • Dentist
  • Lake Oswego, OR
  • NPI 1538707294
  NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1861177917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 MEADOWS RD STE 131",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352622",
            "telephone_number": "503-334-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 MEADOWS RD STE 131",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352622",
            "telephone_number": "503-334-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARZANGY",
        "first_name": "RUNAZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail E. Barnard, M A CCC
• Kelsey Barnett, ND
• Daryl William Baron, MD
• Sergio Antonio Barrera, D.C.
• Danielle Sharayah Barth, M.S.W.
• Bastian Physical Therapy, P.C.
• Neil Bastian, MS, PT
• Caitlin Batch, OTD
• Lisa Bates
• Susan Ranae Battle, FNP

• General Practice Dentistry in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.