Kianoush M Tari, DMD, MS, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401008872 Issued in VA

Practice address

17333 Pickwick Dr Ste a
Purcellville, VA 20132-6161

Phone

(540) 338-0004

Fax

(540) 338-0757

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255482444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 PICKWICK DR STE A",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326161",
            "telephone_number": "540-338-0004",
            "fax_number": "540-338-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17333 PICKWICK DR STE A",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326161",
            "telephone_number": "540-338-0004",
            "fax_number": "540-338-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARI",
        "first_name": "KIANOUSH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD, MS, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmie Ruth Strassberg, D.O
• Stribling Counseling Services, Inc.
• Henry Douthat Stribling, LCSW
• Kimberly Iris Stribling, LCSW
• Michelle Le Tan, OD
• Frederic Tate, RHD
• The Cardiovascular Group, PC (Virginia Heart)
• Therapy Solutions, LLC
• Skylar Thibos
• Timothy a Smith, DDS PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• 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.

Verify at the official NPI Registry.