Kambiz Erfanian-Taheri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043011 Issued in NY

Practice address

7009 Austin St
Suite# 201
Forest Hills, NY 11375-4700

Phone

(718) 793-5347

Fax

(718) 793-5352

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456617600000",
    "number": "1386633444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "address_2": "STE 301",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-466-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 AUSTIN ST",
            "address_2": "SUITE# 201",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754700",
            "telephone_number": "718-793-5347",
            "fax_number": "718-793-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERFANIAN-TAHERI",
        "first_name": "KAMBIZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01418868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enrico Fazzini, D.O., P.C
• Anthony Peter Enriquez
• Maria Lilibeth Enriquez, PT
• Evangelia Eracleous
• Gabriella Erales
• Ergo Physical Therapy, PC
• Elizabeth Rose Errico
• Jacqueline Escava
• Maria Fernanda Escobar Andrade
• Jennifer C Esmade, R.P.T.

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2016; 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.