ROOZBEH KHOSRAVI (NPI# 1538545637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538545637 |
| Entity Type | Organization |
| Organization Name | ROOZBEH KHOSRAVI |
| Practice Address |
3555 Mckinley Ave Tacoma WA 98404-2162 |
| Mailing Address |
5101 Ne 55th St 304 Seattle WA 98105-2868 |
| Practice Telephone | 6174669090 |
| Mailing Telephone | 6174669090 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | ROOZBEH KHOSRAVI (OWNER) |
| Authorized Official Telephone | 6174669090 |
| Authorized Official Credential | DMD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60504324 | WA | Ambulatory Health Care Facilities |
| Street Address |
3555 MCKINLEY AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98404-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| Find all providers in zip 98404 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926055 | Doctors Crane Cramer Pllc | Clinic/Center | 2215 N 30th St Ste B, Tacoma, WA 98403-3350 | 2019-05-09 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1770809832 | Everlast Family Dental Clinic | Clinic/Center | 1212 S 11th St Ste 47, Tacoma, WA 98405-4021 | 2010-04-14 |
| 1528212354 | Alan F. Altman, Dds, PC | Clinic/Center | 2302 S Union Ave Ste A6, Tacoma, WA 98405-1332 | 2008-11-06 |
| 1609099464 | Mostafa Norooz, D.d.s., P.s. | Clinic/Center | 314 M. L. King Way, Suite #206, Tacoma, WA 98405 | 2007-04-10 |
| 1750409827 | Olympic Dental & Denture Center,llc | Clinic/Center | 3720 6th Ave Ste A, Tacoma, WA 98406-4938 | 2007-03-27 |
| 1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
| 1033723366 | Community Health Care | Clinic/Center | 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 | 2020-09-03 |
| 1417506049 | David R Hannula Dds Ps | Clinic/Center | 4146 6th Ave, Tacoma, WA 98406-4013 | 2019-09-06 |
| 1366959009 | Jed De La Paz LLC | Clinic/Center | 15 Oregon Ave, Tacoma, WA 98409-7461 | 2018-01-03 |
| Find all providers in TACOMA | ||||
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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.