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DR. SHADROUZ KIANOURI DDS MAGD NPI 1699826479


NPI Information

NPI: 1699826479
Provider Name: DR. SHADROUZ KIANOURI, DDS, MAGD
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

PECOS Registration: Yes

Address:
250 N SEE VEE LN
BISHOP, CA
ZIP 93514
Phone: (760) 873-3443
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DR. Shadrouz Kianouri, DDS, MAGD is a dental public health dentist in Bishop, CA. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. Shadrouz Kianouri, DDS, MAGD NPI is 1699826479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 N SEE VEE LN
BISHOP, CA
ZIP 93514-130
Phone: (760) 873-3443
Fax: (760) 503-0205

The NPI 1699826479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public Health51177CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1THP11576FMEDICAIDCALIFORNIA
21659433191OTHERCALIFORNIAEMPLOYER NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.