Erfan Imeni Kashani, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10505 Issued in NC

Practice address

6400 Creedmoor Rd
Suite 103
Raleigh, NC 27613-4481

Phone

(919) 977-7480

Fax

(919) 977-7481

NPI assigned

Aug 27, 2016

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• Erfan Imeni Kashani D.D.S. PLLC

  • Preferred Provider Organization
  • Durham, NC
  • NPI 1407304710
  NPD (past) Authorized official
• Hoda Imeni Bassiri, D.D.S., P.a.

  dba Fusion Dental Care

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1619399151
  NPD (past)
• Kiarash Bassiri, OD, PA

  dba Fusion Eye Care

  • Optometrist
  • Raleigh, NC
  • NPI 1770907966
  NPD (past)

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1487100897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 HIHENGE CT",
            "address_2": "APT #8",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154309",
            "telephone_number": "336-266-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CREEDMOOR RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134481",
            "telephone_number": "919-977-7480",
            "fax_number": "919-977-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMENI KASHANI",
        "first_name": "ERFAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Somto Ilonze
• Imagination Therapy PLLC
• Imagination Therapy PLLC
• Matthew Edward Imbrogno, DMD, MSD
• Progress-Jehosheba Ime, MPH
• Lisa Michelle Imhof
• Anthony Russell Immediata, DMD, PA
• Impact Health Solutions Inc
• Impact Orthopaedics, PA
• In Balance Acupuncture Oriental Medicine LLC

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.