Prasong Iamsurey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34119 Issued in CA

Practice address

4150 Main St
Kelseyville, CA 95451-9402

Phone

(707) 279-4251

Fax

(707) 279-8335

NPI assigned

Jun 14, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James Iamsurey DDS, PC

  • General Practice Dentistry
  • Kelseyville, CA
  • NPI 1891691630
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619910767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 MAIN STREET",
            "address_2": "PO BOX 514",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954510514",
            "telephone_number": "707-279-4251",
            "fax_number": "707-279-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 MAIN ST",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954519402",
            "telephone_number": "707-279-4251",
            "fax_number": "707-279-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAMSUREY",
        "first_name": "PRASONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula R Dhanda
• Christina Marie Drukala, MDIV. MA. LMFT
• Paul Seymour Farley, M.D.
• Growell
• James Prasert Iamsurey, D.D.S.
• Indigenous Futures Foundation Inc.
• James Iamsurey DDS, PC
• Claire Johnson
• Eileen R Kalk, PA
• Pearly Pearly Karunakaran

• General Practice Dentistry in Kelseyville, CA
• Providers in Kelseyville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.