KOUSHAN AZAD DENTAL CORPOPRATION
NPI 1477030351
Clinic/Center - Dental in San Luis Obispo, CA
NPI Status: Active since July 24, 2018
Contact Information
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (630) 624-5788
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
About KOUSHAN AZAD DENTAL CORPOPRATION
This page provides the complete NPI Profile along with additional information for Koushan Azad Dental Corpopration, a provider established in San Luis Obispo, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1477030351 assigned on July 2018. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Koushan Azad Dmd (Owner)
- NPI
- 1477030351
- Provider Name
- KOUSHAN AZAD DENTAL CORPOPRATION
- Entity Type
- Organization
- Location Address
- 3870 BROAD ST STE 1 SAN LUIS OBISPO, CA 93401
- Location Phone
- (630) 624-5788
- Mailing Address
- 5903 ANNIE OAKLEY RD HIDDEN HILLS, CA 91302
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2018
- Last Update Date
- 04-30-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477030351, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477030351, enumerated as an "organization" on July 24, 2018.
The provider is located at 3870 BROAD ST STE 1 SAN LUIS OBISPO, CA 93401 and the phone number is (630) 624-5788.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
