Kayhan Zandieh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050308 Issued in NY

Practice address

660 Liberty St
Penn Yan, NY 14527-1035

Phone

(315) 536-3341

NPI assigned

Mar 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eaves Family Dental Group

  • Dentist
  • Penn Yan, NY
  • NPI 1649687013
  NPD (past)
• Edmund E & Marilyn Y Eaves PTR

  • General Practice Dentistry
  • Penn Yan, NY
  • NPI 1538203633
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1588081319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130685",
            "telephone_number": "516-507-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LIBERTY ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271035",
            "telephone_number": "315-536-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDIEH",
        "first_name": "KAYHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yates County Public Health
• Yates County Treasurer
• Yates County Treasurer
• Yates Family Planning Services, Inc.
• Pauline Elizabeth Young, MACCC-SLP
• Katelyn Zufelt, LPN

• General Practice Dentistry in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.