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DR. SHADROUZ KIANOURI DDS, MAGD
NPI 1699826479
Dentist - Dental Public Health in Bishop, CA

Active since January 16, 2007PECOS Enrolled
250 N SEE VEE LN, BISHOP, CA 93514(760) 873-3443(760) 503-0205 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shadrouz Kianouri Dds, Magd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHADROUZ KIANOURI DDS, MAGD (NPI 1699826479) is an individual dental public health provider in Bishop, California, licensed in California (51177) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lone Pine.

NPPES Registry Identity

NPI1699826479
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. SHADROUZ KIANOURICredential: DDS, MAGD
Location Address250 N SEE VEE LNBishop, CA 93514-8130
Mailing Address250 N See Vee LnBishop, CA 93514-8130 · (760) 873-3443 · Fax (760) 503-0205
Phone(760) 873-3443
Fax(760) 503-0205
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1699826479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in CA · 51177
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
250 N SEE VEE LN, Bishop, CA 93514
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Secondary Practice Location 1

Location 11150 S Goodwin RoadLone Pine, CA 93545 · Phone (760) 876-4795

Other Identifiers 2

MedicaidTHP11576FCA
Other1659433191CA · Employer Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shadrouz Kianouri Dds, Magd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOIYABE INDIAN HEALTH PROJECT, INC
Pharmacy (Clinic Pharmacy)
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-4721
DR. THOMAS F WUESTHOFF D.D.S.
Dentist (General Practice)
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-3443
LAUREN ANN NITSCHKE RDH
Dental Hygienist
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-3443
SUSANA BACH TANG OD
Optometrist
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-3611
CHRISTINA E RAINES PA-C
Physician Assistant
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-8461
DELANIE JUNE DELMAS RDH
Dental Hygienist
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-3443
CAROLYN LEIGH MEADOWS ASW
Social Worker (Clinical)
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-8464
MS. TINA MARIE RODRIGUEZ RN
Registered Nurse (Hemodialysis)
250 N SEE VEE LN
BISHOP, CA 93514
Mono County (760) 873-7611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadrouz Kianouri's NPI number?

The NPI number for Shadrouz Kianouri is 1699826479. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Shadrouz Kianouri located?

Shadrouz Kianouri practices at 250 N See Vee Ln, Bishop, CA 93514. The listed phone number is (760) 873-3443.

What is Shadrouz Kianouri's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Shadrouz Kianouri enrolled in Medicare?

Yes. Shadrouz Kianouri is registered in the Medicare PECOS enrollment system.

What insurance does Shadrouz Kianouri accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Shadrouz Kianouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadrouz Kianouri was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.