Individual provider Active NPI

Niusha Jahroudi Zohur, DDS

  • Dentist
  • Niagara Falls, NY
National Provider Identifier
1437344751
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053654 Issued in NY
Practice address
1705 Pine Ave
Niagara Falls, NY 14301-2231
Phone
(716) 284-0110
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 053654 NY Primary

Addresses

Primary practice location

1705 Pine Ave
Niagara Falls, NY 14301-2231

Mailing address

1705 Pine Ave
Niagara Falls, NY 14301-2231
Phone (716) 284-0110

Other identifiers 1

IdentifierTypeStateIssuer
1437344751MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Family Dental, PLLC PastSince Jul 19, 2012 Accepting new patients
Aspire Family Dental, PLLC Dentist PastSince Jul 25, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1437344751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PINE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012231",
            "telephone_number": "716-284-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 PINE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012231",
            "telephone_number": "716-284-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHUR",
        "first_name": "NIUSHA",
        "middle_name": "JAHROUDI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437344751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.