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DR. KAIVON MORADI DMD
NPI 1710737846
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Active since March 22, 2024
801 S PAULINA ST, CHICAGO, IL 60612(312) 996-7555 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, Aug 23, 2024, Jul 24, 2024 (3 updates tracked since 2024).

About Dr. Kaivon Moradi Dmd NPPES

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

DR. KAIVON MORADI DMD (NPI 1710737846) is an individual oral and maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (019.035222) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1710737846
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KAIVON MORADICredential: DMD
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address11 Mesa DrSouth Barrington, IL 60010-1094 · (847) 809-9132
Phone(312) 996-7555
Sole ProprietorYes
Enumeration DateMarch 22, 2024
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1710737846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019.035222
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
801 S PAULINA ST, Chicago, IL 60612
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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.

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Kaivon Moradi's NPI number?

The NPI number for Kaivon Moradi is 1710737846. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Kaivon Moradi located?

Kaivon Moradi practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (312) 996-7555.

What is Kaivon Moradi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Kaivon Moradi was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.