Individual provider Active NPI

Kourosh Langroudi Ghafourpour, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1730382987
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44680 Issued in CA
Practice address
841 Blossom Hill Rd
Suite 202
San Jose, CA 95123-2704
Phone
(408) 224-8266
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44680 CA Primary

Addresses

Primary practice location

841 Blossom Hill Rd
Suite 202
San Jose, CA 95123-2704

Mailing address

724 Bounty Dr Apt 2408
Foster City, CA 94404-2655
Phone (510) 962-0846

Other names 1

  • Dr. Kriss Ghafourpour Professional name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1730382987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BOUNTY DR APT 2408",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042655",
            "telephone_number": "510-962-0846",
            "fax_number": "510-962-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BLOSSOM HILL RD",
            "address_2": "SUITE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232704",
            "telephone_number": "408-224-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFOURPOUR",
        "first_name": "KOUROSH",
        "middle_name": "LANGROUDI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISS",
            "last_name": "GHAFOURPOUR",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.