Mohammed Rafi Feroz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107637 Issued in CA

Practice address

8400 Wood Thrush Way
Granite Bay, CA 95746-6120

Phone

(916) 476-0117

NPI assigned

Jul 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rafi Feroz Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952036089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 HITE CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573523",
            "telephone_number": "916-476-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 WOOD THRUSH WAY",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466120",
            "telephone_number": "916-476-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Manzanita Ave Ste 50",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956081784",
            "country_code": "US",
            "telephone_number": "916-476-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEROZ",
        "first_name": "MOHAMMED",
        "middle_name": "RAFI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFI",
            "last_name": "FEROZ",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarina Escalante
• Eureka Union School District
• Sean Evans
• Jillian Fang
• Naomi Fernandez
• Janet Paulina Ferrari, FDN
• Brianna Finn
• Jenell Patricia Flanagan, BCBA
• Imer Flores
• Elora Fowler

• General Practice Dentistry in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.