Reza Khorasani, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

106569 Issued in CA

Practice address

25355 Cypress Ave Apt 311
Hayward, CA 94544-2235

Phone

(510) 677-1261

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• RK Dental Services PLLC

  • General Practice Dentistry
  • Plano, TX
  • NPI 1881310894
  NPD Authorized official

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1497327860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25355 CYPRESS AVE APT 311",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442235",
            "telephone_number": "510-677-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25355 CYPRESS AVE APT 311",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442235",
            "telephone_number": "510-677-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORASANI",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37658",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliyah Kaab Noog Khang
• Avni Khatri
• Vicki Khau
• Ariane Khomjani
• Mark Kim-Leon Khoo, MD
• Kimberly Khuth
• Justin Kiani
• Kidango
• Da Som Kim
• Daniel Boum Kim, LAC PHD

• Dentist in Hayward, CA
• Providers in Hayward, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.