Active NPI
Bahram Kianpour, DDS
- Dentist
- Irvine, CA
National Provider Identifier
1700557923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS106912
- Practice address
- 300 Regal Apt 122
Irvine, CA 92620-3531 - Phone
- (856) 524-5610
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS106912 | CA | Primary |
Addresses
Primary practice location
300 Regal Apt 122
Irvine, CA 92620-3531
Mailing address
300 Regal Apt 122
Irvine, CA 92620-3531
Phone (856) 524-5610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS106912 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1700557923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 REGAL APT 122",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203531",
"telephone_number": "856-524-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 REGAL APT 122",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203531",
"telephone_number": "856-524-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIANPOUR",
"first_name": "BAHRAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS106912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.