Individual provider Active NPI

Ahmed Ramzi Atarchi

  • Periodontics
  • Parma Heights, OH
National Provider Identifier
1912473190
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
30.025606 Issued in OH
Practice address
6315 Pearl Rd
Parma Heights, OH 44130-3082
Phone
(440) 842-2200
NPI assigned
Oct 16, 2018
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401416285 VA
Periodontics 1223P0300X 30.025606 OH Primary

Addresses

Primary practice location

6315 Pearl Rd
Parma Heights, OH 44130-3082

Mailing address

2387 S Green Rd
Beachwood, OH 44122-1479
Phone (314) 793-6818

Other practice location 1

1520 Portage Trl
Cuyahoga Falls, OH 44223-2121
Phone (330) 923-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416285VAMDDentist
30.025606OHMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1912473190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 S GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221479",
            "telephone_number": "314-793-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 PEARL RD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303082",
            "telephone_number": "440-842-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Portage Trl",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442232121",
            "country_code": "US",
            "telephone_number": "330-923-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATARCHI",
        "first_name": "AHMED",
        "middle_name": "RAMZI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416285",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.025606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.