Active NPIIndividual provider

Dr. Kaivon Rahaghi, DDS

Dentist in Bloomfield, New Jersey

NPI Number1407015910
Practice location
326 Broad St, Bloomfield, NJ 07003
Fax
973-743-6096
Last updated
July 1, 2008

Kaivon Rahaghi is a Dentist based in Bloomfield, NJ. Kaivon Rahaghi practices in Bloomfield, NJ and has the professional credentials of DDS. The NPI Number for Kaivon Rahaghi is 1407015910 and holds a License No. 22DI02279800 (NJ). The current practice location address for Kaivon Rahaghi is 326 Broad St, Bloomfield, NJ 07003 and can be reached out via phone at 973-743-7575 and via fax at 973-743-6096.

Provider Profile Details

NPI Number
1407015910
Provider Name
Kaivon Rahaghi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
326 Broad St, Bloomfield, NJ 07003
Phone Number
973-743-7575
Fax Number
973-743-6096
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2008
Last Update Date
July 1, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
326 Broad St
Bloomfield, NJ 07003
Zip
07003
Phone Number
973-743-7575
Fax Number
973-743-6096
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
326 Broad St
Bloomfield, NJ 07003
City
Bloomfield
State
NJ
Zip
07003
Phone Number
973-743-7575
Fax Number
973-743-6096

License Information

License Number
22DI02279800
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kaivon Rahaghi, DDS?

The NPI number of Dr. Kaivon Rahaghi, DDS is 1407015910. It was assigned on June 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Kaivon Rahaghi, DDS?

Dr. Kaivon Rahaghi, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02279800.

Where does Dr. Kaivon Rahaghi, DDS practice?

The practice location is 326 Broad St, Bloomfield, NJ 07003. The office can be reached at 973-743-7575 (phone) or 973-743-6096 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407015910 directly on the NPPES registry website.

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