Active NPI
Kian Azarnoush, DMD
- Periodontics
- Pittsburgh, PA
National Provider Identifier
1528443454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS042884
- Practice address
- 263 Pinehurst Dr
Pittsburgh, PA 15229-2924 - Phone
- (512) 736-9118
- NPI assigned
- Jul 21, 2015
- Last updated
- May 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0442000256 | VA | MD | Dentist |
| DS042884 | PA | MD | Periodontist |
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.