Sepehr Bushrui Kaiser, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9522 Issued in NC

Practice address

1904 Front St Ste 530
Durham, NC 27705-2583

Phone

(919) 383-6661

NPI assigned

Jun 6, 2013

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962840579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 FRONT ST STE 530",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052583",
            "telephone_number": "919-383-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FRONT ST STE 530",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052583",
            "telephone_number": "919-383-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 Grace Park Dr",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275606003",
            "country_code": "US",
            "telephone_number": "919-571-2484",
            "fax_number": "919-571-2486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "SEPEHR",
        "middle_name": "BUSHRUI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin A Kahn, MD
• Arman Adam Kahokehr, MD, PHD
• Leila Catherine Kahwati, MD, MPH
• Kaiser Family Dentistry
• Audrey Shabnam Kaiser, DDS
• Kaizen Physical Therapy LLC
• Marrion Kalafut, PT, DPT
• Patrick Kalaw
• Kaleidoscope Dream Center PLLC
• Katherine Hansen Kalinowski, ANP-BC

• Dentist in Durham, NC
• Providers in Durham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.