Arash Khoshneviszadeh, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901600594 Issued in MI

Practice address

32316 5 Mile Rd
Livonia, MI 48154-6109

Phone

(734) 523-8300

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Kossak Consulting LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Grosse Pointe Farms, MI
  • NPI 1679856637
  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1821524398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVERFRONT DR APT 1203",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264538",
            "telephone_number": "630-946-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32316 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546109",
            "telephone_number": "734-523-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Perry Rd # 205",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484391482",
            "country_code": "US",
            "telephone_number": "810-515-7083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29475 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481502112",
            "country_code": "US",
            "telephone_number": "734-230-2235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Long Lake Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483042378",
            "country_code": "US",
            "telephone_number": "248-230-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSHNEVISZADEH",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901600594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Omoh Khanoba, MD
• Zainab Khatib
• Linda Khattab
• Jennifer Lynn Khawand, D.O.
• Anthony Kwok Hung Khoo, D.M.D.
• Elie George Khoury, M.D.
• Issa Khoury, DDS
• Herpreet Kaur Khunkhun, M.D
• Daria Kiani, MD
• Jeff Kiel

• Periodontics in Livonia, MI
• Providers in Livonia, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.