Rezaee Dental

Primary specialty

DentistTaxonomy code 122300000X

License

D7282 Issued in OR

Legal business name

REZAEE DENTAL

Practice address

2400 Willamette St
Eugene, OR 97405-3131

Phone

(541) 683-8034

Fax

(541) 485-3134

NPI assigned

Apr 2, 2014

Last updated

Apr 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahram Rezaee, DMDNPI 1881701951

Title

Owner/Dentist

Phone

(541) 683-8034

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahram Rezaee, D.M.D.

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1881701951
  NPD (past) Authorized official
• Laleh Rahimi Rezaee, D.M.D.

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1699887448
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1932527314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053131",
            "telephone_number": "541-683-8034",
            "fax_number": "541-485-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053131",
            "telephone_number": "541-683-8034",
            "fax_number": "541-485-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZAEE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "REZAEE",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "541-683-8034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jean Reynolds, ANP ACNP
• Joseph Scott Reynolds
• Suzanne Fischer Reynolds, M.S.
• Shellye Reynoso
• Reza Najafian MD PC (Naturally Beautiful)
• Laleh Rahimi Rezaee, D.M.D.
• Shahram Rezaee, D.M.D.
• Paul Reznick, CD
• Thekla Rhodes-Pangle, RN
• Kathryn Leyland Rhodes, CNM

• Dentist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.