Active NPI
Roya Rahnamayi, D.D.S.
- Dentist
- Medford, OR
National Provider Identifier
1891171807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10560
- Practice address
- 920 Biddle Rd
Medford, OR 97504-6118 - Phone
- (541) 326-4103
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10560 | OR | Primary |
Addresses
Primary practice location
920 Biddle Rd
Medford, OR 97504-6118
Mailing address
920 Biddle Rd
Medford, OR 97504-6118
Phone (530) 208-0804
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221122001422 | OR | Order and Referring Only - Dentist | 8729456868 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10560 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649462400000",
"number": "1891171807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 BIDDLE RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046118",
"telephone_number": "530-208-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 BIDDLE RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046118",
"telephone_number": "541-326-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHNAMAYI",
"first_name": "ROYA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2022-04-09",
"certification_date": "2022-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "10560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.