Kamran Dastoury, M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

000203543 Issued in CO

Practice address

2290 Kipling St Unit 2
Lakewood, CO 80215-1546

Phone

(661) 466-8266

NPI assigned

Feb 28, 2011

Last updated

May 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Trauma and Emergency Subspecialty Surgeons PLLC

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Highlands Ranch, CO
  • NPI 1740543933

  Oral & Maxillofacial Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525478400000",
    "number": "1275831208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44015 7TH ST E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354124",
            "telephone_number": "661-466-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 KIPLING ST UNIT 2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151546",
            "telephone_number": "661-466-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8680 Monroe Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304881",
            "country_code": "US",
            "telephone_number": "661-466-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASTOURY",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2018-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A146736",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "101382",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CO",
            "license": "000203543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Michael Daniel, B.A
• Elisa Marie Dannemiller, MD
• Caleb H Dansky, LCSW
• Christopher L Daprato, M.P.T.,CSCS
• Kristin Dascanio, LPC
• Sarah Rose Dathe, PA-S
• Brittney Davenport, PT
• David Hope Mitchell Dba Jacob House (Jacob House)
• Audrei Renee Davidson, NP
• Courtney Davidson

• Oral & Maxillofacial Surgery (D.M.D.) in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.