Syrus Ghorbanzadeh Haghighi, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2771256 Issued in ID

Practice address

1670 S Spring Valley LN
Meridian, ID 83642-9094

Phone

(208) 344-9115

Fax

(208) 344-9113

NPI assigned

Jun 7, 2019

Last updated

Oct 28, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Practice roles

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.

• Northwest Oral Surgery LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Boise, ID
  • NPI 1962336693
  Authorized official Same address or phone
• Alpine Surgical Arts LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Boise, ID
  • NPI 1134789845
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1447819032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S SPRING VALLEY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429094",
            "telephone_number": "208-344-9115",
            "fax_number": "208-344-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S SPRING VALLEY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429094",
            "telephone_number": "208-344-9115",
            "fax_number": "208-344-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHIGHI",
        "first_name": "SYRUS",
        "middle_name": "GHORBANZADEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "2771256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Haas, LMSW
• Tammy Lee Hadfield, NP
• Mary C Hafer, MD
• Robert John Hagenberg III, M.D.
• Peyman Haghighat, MD
• Heather Hainstock, PSY.D.
• Levi Hakanson
• Alissa Hale
• Jennifer Beery Hale, DO
• Melissa Anne Hale

• Oral and Maxillofacial Surgery (Dentist) in Meridian, ID
• Providers in Meridian, ID by specialty
• Oral and Maxillofacial Surgery (Dentist) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.