Kurosh Haghighi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI20535 Issued in NJ

Practice address

1445 Willowbrook Blvd
Wayne, NJ 07470-6905

Phone

(973) 812-4426

NPI assigned

Mar 16, 2007

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

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.

• Willowbrook Mall Dental, PA

  • General Practice Dentistry
  • Wayne, NJ
  • NPI 1174685713
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700910015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WILLOWBROOK BLVD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WILLOWBROOK BLVD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706905",
            "telephone_number": "973-812-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHIGHI",
        "first_name": "KUROSH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114014",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GWG Healthcare Inc.
• H&C Infinite Vision LLC
• Monte A Haber, M.D.
• Tana Hacken, LCSW
• Nagwa Ismail Hafez, MD
• Christine Halabi, APRN, FNP, NP-C
• Tae Sun Halpin
• Jun Hee Han, L.AC
• Handwriting 4 Success LLC
• Victoria Hanna, OTR/L

• General Practice Dentistry in Wayne, NJ
• Providers in Wayne, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.