Active NPI
Zohreh A Asadazadehfard, DDS
- Dentist
- Coralville, IA
National Provider Identifier
1174689541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7503
- Practice address
- 850 22ND Ave # 1
Coralville, IA 52241-1565 - Phone
- (319) 354-2142
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7503 | IA | Primary |
Addresses
Primary practice location
850 22ND Ave # 1
Coralville, IA 52241-1565
Mailing address
850 22ND Ave # 1
Coralville, IA 52241-1565
Phone (319) 354-2142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7503 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174689541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 22ND AVE # 1",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411565",
"telephone_number": "319-354-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 22ND AVE # 1",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411565",
"telephone_number": "319-354-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASADAZADEHFARD",
"first_name": "ZOHREH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "7503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.