Individual provider Active NPI

Kamran Said Salehpour

  • Dentist
  • Duarte, CA
National Provider Identifier
1437588290
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63071 Issued in CA
Practice address
2588 Westvale CT
Duarte, CA 91010-3625
Phone
(626) 905-3902
NPI assigned
Nov 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63071 CA Primary

Addresses

Primary practice location

2588 Westvale CT
Duarte, CA 91010-3625

Mailing address

2588 Westvale CT
Duarte, CA 91010-3625
Phone (626) 905-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20211202002950 CA Order and Referring Only - DentistPractitioner - Dentist 4587054630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1437588290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2588 WESTVALE CT",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103625",
            "telephone_number": "626-905-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2588 WESTVALE CT",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103625",
            "telephone_number": "626-905-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHPOUR",
        "first_name": "KAMRAN",
        "middle_name": "SAID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.