KOOROUSH MANSOURZADEH D.D.S.
NPI 1417309790
Dentist in Kent, WA
NPI Status: Active since July 11, 2016
Contact Information
12906 SE KENT KANGLEY RD
KENT, WA
ZIP 98030
Phone: (253) 361-3015
- Individual
- Male
- Dentist
- Accepts Insurance
About KOOROUSH MANSOURZADEH
This page provides the complete NPI Profile along with additional information for Kooroush Mansourzadeh, a provider established in Kent, Washington with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1417309790 assigned on July 2016. The practitioner's primary taxonomy code is 122300000X with license number DE60655131 (WA). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1417309790
- Provider Name
- KOOROUSH MANSOURZADEH D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12906 SE KENT KANGLEY RD KENT, WA 98030
- Location Phone
- (253) 361-3015
- Mailing Address
- 12906 SE KENT KANGLEY RD KENT, WA 98030
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-11-2016
- Last Update Date
- 07-11-2016
- Code Navigator
A dentist like Kooroush Mansourzadeh is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- DE60655131
- License State
- WA
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for KOOROUSH MANSOURZADEH D.D.S.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 3 | 0 | 9 | 7 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 6 | 0 | 18 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 6 + 0 + 1 + 8 + 7 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1417309790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093110215 | LAKE MERIDIAN DENTAL LLC Organization | Dentist | 12906 SE KENT KANGLEY RD KENT, WA 98030 (253) 631-3015 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417309790, enumerated in the NPI registry as an "individual" on July 11, 2016
The provider is located at 12906 Se Kent Kangley Rd Kent, Wa 98030 and the phone number is (253) 361-3015
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Florida Combined Life and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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