KOUROSH NAKHAEI


Address: 1717 Biddle St, Saint Louis, MO 63106-3454
Phone: 3148148581

KOUROSH NAKHAEI (NPI# 1295259877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295259877
Entity Type Individual
Full Name KOUROSH NAKHAEI
Credential DDS
Practice Address 1717 Biddle St
Saint Louis
MO 63106-3454
Mailing Address 300 N 4th St Apt 1011
Saint Louis
MO 63102-1944
Practice Telephone 3148148581
Mailing Telephone 3107418604
Enumeration Date 2017-07-26
Last Update Date 2018-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
33321 TX Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4310 Garth Rd, Baytown, TX 77007 2818388888

Office Location

Street Address 1717 BIDDLE ST
City SAINT LOUIS
State MO
Zip Code 63106-3454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588660641 Yolette V Brown Pediatrics 1717 Biddle St, Saint Louis, MO 63106-3454 2005-06-23
1245837038 Steven Hernandez Dentist 1717 Biddle St, Saint Louis, MO 63106-3454 2020-10-05
1174185805 Annie Marie Baro Dentist 1717 Biddle St, Saint Louis, MO 63106-3454 2019-07-02
1598325086 Kristen D Beatty Social Worker 1717 Biddle St, Saint Louis, MO 63106-3454 2019-06-17
1952882631 Emily D Harms Social Worker 1717 Biddle St, Saint Louis, MO 63106-3454 2018-08-22
1326540196 Sonia Louise Deal Registered Nurse 1717 Biddle St, Saint Louis, MO 63106-3454 2018-03-07
1124482799 Patrick Schoenwalder Physician Assistant 1717 Biddle St, Saint Louis, MO 63106-3454 2016-04-11
1306217401 Tritobia Jones Social Worker 1717 Biddle St, Saint Louis, MO 63106-3454 2015-10-14
1255719530 Mahamaya Bhattacharyya Psychiatry & Neurology 1717 Biddle St, Saint Louis, MO 63106-3454 2015-05-07
1639569643 Angelina Mwonga Dentist 1717 Biddle St, Saint Louis, MO 63106-3454 2015-01-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770027997 Superior Manor of Downtown LLC Assisted Living Facility 1501 Clinton St., St Louis, MO 63106 2016-12-07
1811361454 James Preston Jr. Pharmacist 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 2015-11-19
1245656354 Julie Marie Albsmeyer Physician Assistant 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 2014-03-13
1932523230 Cathy Yeung Registered Nurse 715 N Grand Blvd., St Louis, MO 63106 2014-02-07
1902149388 Amanda Foley Doula 4056 Humphrey Street, Saint Louis, MO 63106 2013-04-03
1942569876 Cornelia Charles Internal Medicine 915 Norh Grand Blvd, Saint Louis, MO 63106 2012-05-12
1124334396 Kasandra Ann Tinajero Registered Nurse 915 N. Grand Blvd., St. Louis, MO 63106 2010-08-26
1366673931 Cassandra Vernetta Talbert Social Worker 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 2009-07-30
1497910707 Robert Louis Tillman Pharmacy Technician 915 N Grand Ave, St. Louis, MO 63106 2008-07-25
1861676686 Bradley Dean Overmeyer Social Worker 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 2007-12-28
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801493762 Alexander Ahmadi Dentist 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 2020-10-05
1396353876 Michael Rehme Jr. Dentist 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 2020-07-21
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1013579010 Jasmine Esmailzadegan Dentist 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 2019-07-01
1194295964 Rivka Goldenhersh, D.m.d., LLC Dentist 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 2018-12-04
1952895252 Feras Al Khatib Dentist 7809 Watson Rd, Saint Louis, MO 63119-5408 2018-06-20
1255825675 Brenton Patrick Ruopp Dentist 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 2018-06-19
1598258501 Daniel Thomas Doherty Dentist 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 2018-06-13
1649700964 Adam J Bree Dentist 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 2017-06-19
1811448863 We Care Mobile Dental LLC Dentist 6903 Waterman Ave, Saint Louis, MO 63130-4333 2016-10-14
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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