Active NPI
Khosrow Movahedi, D.D.S.
- Dentist
- Carson City, NV
National Provider Identifier
1811283328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4903
- Practice address
- 971 Topsy LN
Carson City, NV 89705-8421 - Phone
- (775) 884-4888
- NPI assigned
- Jun 22, 2011
- 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 | 4903 | NV | Primary |
Addresses
Primary practice location
971 Topsy LN
Carson City, NV 89705-8421
Mailing address
971 Topsy LN
Carson City, NV 89705-8421
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 |
|---|---|---|---|
| 4903 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1811283328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 TOPSY LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897058421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 TOPSY LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897058421",
"telephone_number": "775-884-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVAHEDI",
"first_name": "KHOSROW",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.