Individual provider Active NPI

Guilan Norouzi, DDS

  • Dentist
  • Hazelwood, MO
National Provider Identifier
1740382985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
014151 Issued in MO
Practice address
7934 N Lindbergh Blvd
Hazelwood, MO 63042
Phone
(314) 831-8086
Fax
(314) 831-9563
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 014151 MO Primary

Addresses

Primary practice location

7934 N Lindbergh Blvd
Hazelwood, MO 63042

Mailing address

7934 N Lindbergh Blvd
Hazelwood, MO 63042
Phone (314) 831-8086

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

LicenseStateTypeSpecialty
014151MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740382985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7934 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "63042",
            "telephone_number": "314-831-8086",
            "fax_number": "314-831-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7934 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "63042",
            "telephone_number": "314-831-8086",
            "fax_number": "314-831-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOROUZI",
        "first_name": "GUILAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "014151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • 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.