Koushan H. Azad Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOUSHAN H. AZAD DENTAL CORPORATION

Practice address

1171 Creston Rd Ste 107
Paso Robles, CA 93446-3031

Phone

(805) 242-4044

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Olivia Aguinaga

Title

Business Coordinator

Phone

(805) 242-4044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1235821380",
    "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",
            "telephone_number": "805-242-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 CRESTON RD STE 107",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463031",
            "telephone_number": "805-242-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUSHAN H. AZAD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "AGUINAGA",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "805-242-4044"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen D Klein
• Francois G Kleynhans
• Lisa Louise Klockenteger, RDHAP
• Roseann Koerber, DPT
• Lisa Anne Kopper, O.D.
• Charles David Krill, D.D.S.
• Deborah Ann Kronstad, M.D.
• Rouan Edwin Kruger, PHARMACIST
• Karen Roberson Kudija, OD
• Nuree Kwon

• General Practice Dentistry in Paso Robles, CA
• Providers in Paso Robles, 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 May 25, 2023; 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.