Active NPI
Kian Daghighi, D.D.S.
- Dentist
- Prosper, TX
National Provider Identifier
1598994063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30692
- Practice address
- 111 S Preston Rd Ste 50
Prosper, TX 75078-8884 - Phone
- (415) 573-4834
- NPI assigned
- Jul 6, 2009
- Last updated
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58407 | CA | |
| Dentist | 122300000X | 30692 | TX | Primary |
Addresses
Primary practice location
111 S Preston Rd Ste 50
Prosper, TX 75078-8884
Mailing address
111 S Preston Rd Ste 50
Prosper, TX 75078-8884
Phone (415) 573-4834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026001215 | TX | Order and Referring Only - Other (Physician) | 3678851672 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30692 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1598994063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S PRESTON RD STE 50",
"city": "PROSPER",
"state": "TX",
"postal_code": "750788884",
"telephone_number": "415-573-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S PRESTON RD STE 50",
"city": "PROSPER",
"state": "TX",
"postal_code": "750788884",
"telephone_number": "415-573-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGHIGHI",
"first_name": "KIAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-06",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58407",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.