Individual provider Active NPI

Daryoush Jahanian, MD

  • Obstetrics & Gynecology Physician
  • Kansas City, KS
National Provider Identifier
1861508616
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0415597 Issued in KS
Practice address
5701 State Ave Ste 100
Kansas City, KS 66102-1281
Phone
(913) 287-7800
Fax
(913) 287-1112
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0415597 KS Primary

Addresses

Primary practice location

5701 State Ave Ste 100
Kansas City, KS 66102-1281

Mailing address

5701 State Ave Ste 100
Kansas City, KS 66102-1281
Phone (913) 287-7800

Other identifiers 1

IdentifierTypeStateIssuer
100092890BMedicaidKS

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0415597KSMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1861508616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 STATE AVE STE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021281",
            "telephone_number": "913-287-7800",
            "fax_number": "913-287-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 STATE AVE STE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021281",
            "telephone_number": "913-287-7800",
            "fax_number": "913-287-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANIAN",
        "first_name": "DARYOUSH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0415597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092890B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.