NPIMap

Organization Active NPI

Rasouli Dental Care LLC

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1972169654
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RASOULI DENTAL CARE LLC
Practice address
1200 S Wadsworth Blvd Ste 200
Lakewood, CO 80232-5434
Phone
(303) 733-7533
Fax
(303) 733-9826
NPI assigned
May 17, 2019
Last updated
Mar 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Dr. Jina RasouliNPI 1992997209
Title
Dentist
Phone
(720) 232-3095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1200 S Wadsworth Blvd Ste 200
Lakewood, CO 80232-5434

Mailing address

1200 S Wadsworth Blvd Ste 200
Lakewood, CO 80232-5434
Phone (303) 733-7533

Other names 1

  • Family Dental Clinic LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1972169654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S WADSWORTH BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325434",
            "telephone_number": "303-733-7533",
            "fax_number": "303-733-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S WADSWORTH BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325434",
            "telephone_number": "303-733-7533",
            "fax_number": "303-733-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASOULI DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "RASOULI",
        "authorized_official_first_name": "JINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-232-3095",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.