Individual provider Active NPI

Peshawa Kurdistani

  • Homeopath
  • Saint Louis, MO
National Provider Identifier
1730548470
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
Practice address
5803 Goener Ave
Saint Louis, MO 63116-2234
Phone
(314) 255-5784
NPI assigned
Feb 22, 2016
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

5803 Goener Ave
Saint Louis, MO 63116-2234

Mailing address

5803 Goener Ave
Saint Louis, MO 63116-2234
Phone (314) 255-5784

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

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1730548470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 GOENER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162234",
            "telephone_number": "314-255-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 GOENER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162234",
            "telephone_number": "314-255-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURDISTANI",
        "first_name": "PESHAWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.