DR. KOUROS HEDAYATI (NPI# 1538322375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538322375 |
| Entity Type | Individual |
| Full Name | DR. KOUROS HEDAYATI |
| Credential | DDS |
| Practice Address |
385 Garrisonville Rd Suite 108 Stafford VA 22554-1545 |
| Mailing Address |
2400 S Glebe Rd Apt 417 Arlington VA 22206-2546 |
| Practice Telephone | 5406577645 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2012-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401412201 | VA | Dental Providers |
| Street Address |
385 GARRISONVILLE RD SUITE 108 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360214 | Yvonne M Villarreal | Family Medicine | 385 Garrisonville Rd, Suite 211, Stafford, VA 22554-1545 | 2005-07-15 |
| 1154856656 | Kairous Counseling | Counselor | 385 Garrisonville Rd, Suite 117, Stafford, VA 22554-1545 | 2017-04-22 |
| 1649666728 | Century Pediatrics, Inc | Physician Assistant | 385 Garrisonville Rd, Stafford, VA 22554-1545 | 2015-04-15 |
| 1497141477 | Bjorn Matthew Thorsen | Dentist | 385 Garrisonville Rd, Stafford, VA 22554 | 2015-04-07 |
| 1851702203 | Cole Sports Chiropractic & Rehab, LLC | Chiropractor | 385 Garrisonville Rd, Suite 121 & 211, Stafford, VA 22554-1545 | 2014-05-19 |
| 1346597879 | Andrea Marie Cathey | Nurse Practitioner | 385 Garrisonville Rd, Stafford, VA 22554-1545 | 2012-08-15 |
| 1477808962 | Prosum Psychology Pllc | Psychologist | 385 Garrisonville Rd, Suite 113, Stafford, VA 22554-1545 | 2012-07-20 |
| 1215297395 | Meredith Krause | Psychologist | 385 Garrisonville Rd, Suite 113, Stafford, VA 22554-1545 | 2012-05-22 |
| 1891066643 | Shelly Oberst | Social Worker | 385 Garrisonville Rd, Suite 112, Stafford, VA 22554-1545 | 2012-01-24 |
| 1669780227 | Embracing Health, Inc. | Family Medicine | 385 Garrisonville Rd, Suite 211, Stafford, VA 22554-1545 | 2010-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700316429 | An White | Dentist | 3607 S Main St # 107, Stafford, TX 77477-5406 | 2017-06-14 |
| 1285184036 | Junior Smiles of Stafford Pllc | Dentist | 963 Garrisonville Rd, Suite 103, Stafford, VA 22556-3906 | 2016-10-05 |
| 1003269259 | Subtle Smiles | Dentist | 4915 S. Main St, #107, Stafford, TX 77477-6307 | 2016-07-22 |
| 1528410677 | Richard Lam | Dentist | 11221 West Airport Blvd., Stafford, TX 77477 | 2016-07-12 |
| 1750793477 | Raj Patel | Dentist | 2757 Jefferson Davis Hwy Ste 119, Stafford, VA 22554-8328 | 2014-05-29 |
| 1538392162 | Jessica Paola Sugajara Mitsuzuka | Dentist | 385 Garrisonville Rd Suite 108, Stafford, VA 22554 | 2009-08-31 |
| 1639354582 | Gelatia Tesfaye | Dentist | 10435 Greenbough Dr Ste 300, Stafford, TX 77477-5034 | 2008-01-09 |
| 1558543132 | Babak Goravanchi | Dentist | 11753 W Bellfort St Ste 116, Stafford, TX 77477-1327 | 2007-12-05 |
| 1497946073 | Karen Jean Hicks | Dentist | 35 Walpole St, 201, Stafford, VA 22554-6546 | 2007-08-07 |
| 1740490085 | David Kim | Dentist | 364 Garrisonville Rd # 3107, Stafford, VA 22554-1539 | 2007-05-23 |
| Find all providers in STAFFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.