KOUROSH NAKHAEI (NPI# 1295259877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33321 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4310 Garth Rd, Baytown, TX 77007 | 2818388888 |
| Street Address |
1717 BIDDLE ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63106-3454 |
| 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 | ||||
| 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 |
| Find all providers in zip 63106 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 | ||||
| City | SAINT LOUIS |
| Zip Code | 63106 |
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| 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.