Kourosh Rahimi Kia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012599 Issued in AZ

Practice address

3750 Highway 95 Ste 106
Bullhead City, AZ 86442-8219

Phone

(928) 704-2580

NPI assigned

Jul 28, 2025

Last updated

Jul 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Dental Professionals, P.C.

  dba Crossroads Family Dental

  • General Practice Dentistry
  • Bullhead City, AZ
  • NPI 1316101728
  NPD (past)

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1114800380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 HIGHWAY 95 STE 106",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428219",
            "telephone_number": "928-704-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 HIGHWAY 95 STE 106",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428219",
            "telephone_number": "928-704-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMI KIA",
        "first_name": "KOUROSH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promptcare PC
• Pulmonology Group LLC
• Terry M Puryear
• Zhijia Jack Qiu, D.C.
• Malik Tariq Rahim, M.D.
• Mohamed Ibrahim Ramadan, MD
• Soy Ramsumeer, FNP,DNP,MSN,RN,DM ED
• Rand Services, LLC (Beck Chiropractic)
• Riley Regan
• Maranda Grace Sorensen Renouard, PHARMD

• General Practice Dentistry in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.