Koushan Azad Dental DMD Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOUSHAN AZAD DENTAL DMD CORPORATION

Practice address

426 Barcellus Ave Ste 104
Santa Maria, CA 93454-6926

Phone

(805) 357-4725

NPI assigned

Sep 9, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Koushan Azad, DMD

Title

President

Phone

(805) 202-4988

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1093696882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N H ST STE P",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934368141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 BARCELLUS AVE STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546926",
            "telephone_number": "805-357-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUSHAN AZAD DENTAL DMD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "KOUSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-202-4988",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andera Korgees, PA-C
• Janet Ann Korpela, MSW
• Calista R Koska
• Cassandra Koska
• Carly Kosta, PA-S
• Koushan Azad DMD Inc
• Koushan Azad DMD. Inc
• Abigail Jane Kraemer-Cole, PA-C
• Sam Addison Kramer
• Peter Krause, MD

• General Practice Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.