Individual provider Active NPI

Shahram Ron Nourian, D.D.S.

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1902947419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32373 Issued in CA
Practice address
14564 Whittier Blvd
Whittier, CA 90605-2129
Phone
(562) 693-8202
Fax
(562) 693-2893
NPI assigned
Feb 8, 2007
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 32373 CA Primary

Addresses

Primary practice location

14564 Whittier Blvd
Whittier, CA 90605-2129

Mailing address

14564 Whittier Blvd
Whittier, CA 90605-2129
Phone (562) 693-8202

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
I20190717003142 CA Practitioner - Oral SurgeryPractitioner - Dentist 0042544561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32373CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
M Abramovici & S Nourian D.D.S. Inc. General Practice 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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902947419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14564 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052129",
            "telephone_number": "562-693-8202",
            "fax_number": "562-693-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14564 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052129",
            "telephone_number": "562-693-8202",
            "fax_number": "562-693-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURIAN",
        "first_name": "SHAHRAM",
        "middle_name": "RON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.