Paul Kasrovi DDS Ms a Professional Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

40362 Issued in NU

Legal business name

PAUL KASROVI DDS MS A PROFESSIONAL CORPORATION

Practice address

3010 Colby St
#220
Berkeley, CA 94705

Phone

(510) 204-8856

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul M Kasrovi, DDS MS

Title

President

Phone

(510) 204-8856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275749590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "#220",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-204-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "#220",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-204-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KASROVI DDS MS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASROVI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-204-8856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": "40362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Patrick
• Ananda Mae Patterson
• Carol Patterson, M.S.W., C.P.R.P.
• Jessica Erin Patterson, PH.D.
• Meg Patterson, M.F.T.
• Patrice Paul, RN, PHN
• Casey Paule
• Benjamin Adams Pauw, LMFT
• Mordechai Pavlovsky, M.D.
• Iris Paw

• Orthodontics and Dentofacial Orthopedics Dentistry in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.