Individual provider Active NPI

Azin Ghesmati-Kalurazi, D.D.S.

  • Dentist
  • Washington, DC
National Provider Identifier
1881972578
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1001031 Issued in DC
Practice address
1426 21St St NW
2ND Floor
Washington, DC 20036-5947
Phone
(202) 331-3476
NPI assigned
Jul 28, 2011
Last updated
Jul 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN1001031 DC Primary

Addresses

Primary practice location

1426 21St St NW
2ND Floor
Washington, DC 20036-5947

Mailing address

2201 N St NW
Apt 316
Washington, DC 20037-1107
Phone (917) 880-5844

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
DEN1001031DCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1881972578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N ST NW",
            "address_2": "APT 316",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371107",
            "telephone_number": "917-880-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 21ST ST NW",
            "address_2": "2ND FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365947",
            "telephone_number": "202-331-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHESMATI-KALURAZI",
        "first_name": "AZIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.