Kamrooz Korori, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

049137 Issued in NY

Practice address

8709 92ND St
Floor 2
Woodhaven, NY 11421-2102

Phone

(718) 805-3600

Fax

(718) 805-4200

NPI assigned

Nov 17, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1679555304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 92ND ST",
            "address_2": "FLOOR 2",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212102",
            "telephone_number": "718-805-3600",
            "fax_number": "718-805-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 92ND ST",
            "address_2": "FLOOR 2",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212102",
            "telephone_number": "718-805-3600",
            "fax_number": "718-805-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORORI",
        "first_name": "KAMROOZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02159740",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.