Active NPI
Kamaleddin Hazaveh, DMD
- Dentist
- Reading, PA
National Provider Identifier
1487796868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS027945L
- Practice address
- 501 Carsonia Ave
Reading, PA 19606-1520 - Phone
- (610) 779-0911
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS027945L | PA | Primary |
Addresses
Primary practice location
501 Carsonia Ave
Reading, PA 19606-1520
Mailing address
501 Carsonia Ave
Reading, PA 19606-1520
Phone (610) 779-0911
Other names 1
- Dr. Kami Hazaveh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS027945L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487796868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 CARSONIA AVE",
"city": "READING",
"state": "PA",
"postal_code": "196061520",
"telephone_number": "610-779-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 CARSONIA AVE",
"city": "READING",
"state": "PA",
"postal_code": "196061520",
"telephone_number": "610-779-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZAVEH",
"first_name": "KAMALEDDIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS027945L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAMI",
"last_name": "HAZAVEH",
"prefix": "DR.",
"credential": "DMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.