Roozbeh Khosravi

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60504324 Issued in WA

Legal business name

ROOZBEH KHOSRAVI

Practice address

3555 McKinley Ave
Tacoma, WA 98404-2162

Phone

(617) 466-9090

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Roozbeh Khosravi, DMD, PHD

Title

Owner

Phone

(617) 466-9090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1538545637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 NE 55TH ST",
            "address_2": "304",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052868",
            "telephone_number": "617-466-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 MCKINLEY AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984042162",
            "telephone_number": "617-466-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOZBEH KHOSRAVI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVI",
        "authorized_official_first_name": "ROOZBEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-466-9090",
        "authorized_official_credential": "DMD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60504324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah LP Rooney, M.D.
• James M Roos, MD
• Leah Roos, RN
• Rooted Pediatric Speech and Feeding LLC
• Molly Rooy, RDN, CD
• Christa L Roper, LMP
• Leilani Jhamia Rosa
• Marie Rosa
• Michelle Carmelle Rosa
• Joseph G. F. Rosales, MD

• Dental Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.