Active NPI
Payam Ishani Afousi, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oklahoma City, OK
National Provider Identifier
1497150197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 213
- Practice address
- 9405 N. Penn Place, Casady Square
Oklahoma City, OK 73114 - Phone
- (405) 254-5094
- NPI assigned
- Oct 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6895 | OK | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 213 | OK | Primary |
Addresses
Primary practice location
9405 N. Penn Place, Casady Square
Oklahoma City, OK 73114
Mailing address
9405 N. Penn Place, Casady Square
Oklahoma City, OK 73120
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 |
|---|---|---|---|
| 213 | OK | MD | Professional Counselor |
| 6895 | OK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1497150197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9405 N. PENN PLACE, CASADY SQUARE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 N. PENN PLACE, CASADY SQUARE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73114",
"telephone_number": "405-254-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHANI AFOUSI",
"first_name": "PAYAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6895",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OK",
"license": "213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.