Koushan Azad Dental Corpopration

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KOUSHAN AZAD DENTAL CORPOPRATION

Practice address

3870 Broad St Ste 1
San Luis Obispo, CA 93401-7172

Phone

(630) 624-5788

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Koushan Azad, DMD

Title

Owner

Phone

(805) 202-4988

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Radhouan Gazouani

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1083535157
  NPD (past)
• Farnaz Mohammadi

  • Dentist
  • San Luis Obispo, CA
  • NPI 1043146798
  NPD (past)
• Elham Nik, DDS

  • General Practice Dentistry
  • Lompoc, CA
  • NPI 1770123515
  NPD (past)
• Apurva Sharma

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1043064322
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1477030351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 ANNIE OAKLEY RD",
            "city": "HIDDEN HILLS",
            "state": "CA",
            "postal_code": "913021230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 BROAD ST STE 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017172",
            "telephone_number": "630-624-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUSHAN AZAD DENTAL CORPOPRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "KOUSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-202-4988",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kolofer Chiropractic Inc.
• Scott Kolofer, DC
• Mary Helen Konye
• Melody Kopisch, N.P.
• Sarah Kounanis, RN
• Joseph Kovacevich
• Bradley Kovach, O.D.
• Karen A Kovalow-St. John, M.D.
• Claudia Michelle Kraake
• Janice Lynn Kraemer, PT

• Dental Clinic/Center in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.