Paul M. Kasrovi, DDS,MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

000040362 Issued in CA

Practice address

96 Davis Rd
Suite #1
Orinda, CA 94563-3041

Phone

(510) 204-8855

Fax

(510) 548-8438

NPI assigned

Nov 19, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1467607341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 TELEGRAPH AVE",
            "address_2": "SUITE #201",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043374",
            "telephone_number": "510-204-8855",
            "fax_number": "510-898-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 DAVIS RD",
            "address_2": "SUITE #1",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633041",
            "telephone_number": "510-204-8855",
            "fax_number": "510-548-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASROVI",
        "first_name": "PAUL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "000040362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ernest A Kahl, D.D.S.
• Bryn Johanna Kahn, PSY.D.
• Brian Kimball Kay, MFT, LPCC
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• Kanwar Singh Kelley, M.D., J.D.
• Judith D. Kellman, M.D.
• Linda Uin Soo Kim, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Orinda, CA
• Providers in Orinda, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.