Individual provider Active NPI

Kian Azarnoush, DMD

  • Periodontics
  • Pittsburgh, PA
National Provider Identifier
1528443454
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS042884 Issued in PA
Practice address
263 Pinehurst Dr
Pittsburgh, PA 15229-2924
Phone
(512) 736-9118
NPI assigned
Jul 21, 2015
Last updated
May 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0442000256 VA
Periodontics 1223P0300X DS042884 PA Primary

Addresses

Primary practice location

263 Pinehurst Dr
Pittsburgh, PA 15229-2924

Mailing address

263 Pinehurst Dr
Pittsburgh, PA 15229-2924

Other practice location 1

2500 E Cary St Apt 305
Richmond, VA 23223-7862
Phone (512) 736-9118

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

LicenseStateTypeSpecialty
0442000256VAMDDentist
DS042884PAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1528443454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 PINEHURST DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 PINEHURST DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292924",
            "telephone_number": "512-736-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Cary St Apt 305",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232237862",
            "country_code": "US",
            "telephone_number": "512-736-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZARNOUSH",
        "first_name": "KIAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0442000256",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS042884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.