KOUROSH HARANDI DENTAL PRACTICE (NPI# 1720490121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720490121 |
| Entity Type | Organization |
| Organization Name | KOUROSH HARANDI DENTAL PRACTICE |
| Practice Address |
1844 San Miguel Dr Suite 309 Walnut Creek CA 94596-4962 |
| Practice Telephone | 9259385633 |
| Mailing Telephone | 9259385633 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | DR. KOUROSH HARANDI (CEO/OWNER) |
| Authorized Official Telephone | 9258375633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
52802 | CA | Dental Providers |
| Street Address |
1844 SAN MIGUEL DR SUITE 309 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-4962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644159 | Daniel James Moore | Dentist | 1844 San Miguel Dr, Suite 100, Walnut Creek, CA 94596-4962 | 2005-10-25 |
| 1245778216 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 1844 San Miguel Dr, Suite 302, Walnut Creek, CA 94596-4962 | 2017-02-09 |
| 1013376508 | Ngan Chiropractic Inc | Chiropractor | 1844 San Miguel Dr, Suite 308a, Walnut Creek, CA 94596-4962 | 2016-02-12 |
| 1992174049 | Francine Ball | Acupuncturist | 1844 San Miguel Dr, Suite 203, Walnut Creek, CA 94596-4962 | 2015-09-18 |
| 1447661582 | Scott Pope | Dentist | 1844 San Miguel Dr, Suite 200, Walnut Creek, CA 94596-4962 | 2014-05-12 |
| 1457761975 | Katie Ngan | Chiropractor | 1844 San Miguel Dr, Suite 308a, Walnut Creek, CA 94596-4962 | 2014-05-06 |
| 1932449618 | Jayson Williams | Hearing Instrument Specialist | 1844 San Miguel Dr, Suite 302, Walnut Creek, CA 94596-4962 | 2013-02-18 |
| 1437418597 | Kls Hearing Systems, Inc | Audiologist | 1844 San Miguel Dr, Suite 302, Walnut Creek, CA 94596-4962 | 2012-05-10 |
| 1083987465 | Steven Allen Schane | Psychiatry & Neurology | 1844 San Miguel Dr, Suite 311, Walnut Creek, CA 94596-4963 | 2012-02-16 |
| 1740567650 | Michael J. Schwab, Md, Inc. | Psychiatry & Neurology | 1844 San Miguel Dr, Suite 110, Walnut Creek, CA 94596-4962 | 2011-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1619302692 | Karl Erik Engdahl | Dentist | 2225 Olympic Bovlevard, Walnut Creek, CA 94595 | 2013-09-09 |
| 1235488040 | Justin Braga Dds Ms Inc | Dentist | 1844 San Miguel Dr Ste 309, Walnut Creek, CA 94596-4963 | 2012-09-07 |
| 1346452539 | John William Bruns | Dentist | 2021 Ygnacio Valley Rd Ste A3, Walnut Creek, CA 94598-3388 | 2007-05-03 |
| 1275652943 | Semi Lim | Dentist | 1575 Treat Blvd, Suite 115, Walnut Creek, CA 94598-1048 | 2007-03-27 |
| 1841369386 | Eric S Tsai | Dentist | 1855 San Miguel Drive, Suite #10, Walnut Creek, CA 94596-5279 | 2006-11-07 |
| 1265467518 | Robert T Marks | Dentist | 1844 San Miguel Dr Ste 209, Walnut Creek, CA 94596-4913 | 2006-07-12 |
| 1487886214 | Rose Dastmalchi | Dentist | 301 Lennon Ln, Suite 101, Walnut Creek, CA 94598-2483 | 2009-08-12 |
| 1609073790 | Dr. John W. Bruns, D.d.s. Inc | Dentist | 2021 Ygnacio Valley Rd, Suite A-2, Walnut Creek, CA 94598-3391 | 2007-07-02 |
| 1295872299 | Stephen Andrew Reid | Dentist | 1844 San Miguel Dr, Suite # 309, Walnut Creek, CA 94596-4962 | 2007-01-30 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.