Nazanin Ghazisharif, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10220 Issued in KY

Practice address

2625 Nashville Rd Ste 103
Bowling Green, KY 42101-4098

Phone

(615) 476-2317

NPI assigned

Sep 14, 2015

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Briarwood Dental Partners, LLC

  dba Precision Dental Briarwood

  • Dental Clinic/Center
  • Bowling Green, KY
  • NPI 1295507721
  NPD Authorized official
• Precision Dental Partners, PLLC

  dba Precision Dental Bowling Green

  • Dental Clinic/Center
  • Bowling Green, KY
  • NPI 1154193688
  NPD Authorized official

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1942678495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 NASHVILLE RD STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014098",
            "telephone_number": "615-476-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 NASHVILLE RD STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014098",
            "telephone_number": "615-476-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 Fairview Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421032600",
            "country_code": "US",
            "telephone_number": "615-476-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZISHARIF",
        "first_name": "NAZANIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Medical Laser Center, LLC (Genesis Medical Laser CTR)
• Genoa Healthcare LLC
• Alexandria Gentile
• Gentry Inc. (Home Helpers of South Central Kentucky)
• Abdol Ghayoumi, D.C.
• Gibson Interventions, LLC
• Georgeanna Gibson, LPCC
• Jane Catherine Gibson, M.D.
• Kaelyn Nicole Gibson, MSOT, OTR
• Nicole Lynn Gibson, BCBA

• General Practice Dentistry in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.