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OMID KHAKSARFARD
NPI 1780403477
Dentist - General Practice in Mt Pleasant, WI

Active since October 09, 2024
6035 DURAND AVE, MT PLEASANT, WI 53406(262) 270-6933 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omid Khaksarfard NPPES

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

OMID KHAKSARFARD (NPI 1780403477) is an individual general practice provider in Mt Pleasant, Wisconsin, licensed in Wisconsin (6001855) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1780403477
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameOMID KHAKSARFARD
Location Address6035 DURAND AVEMt Pleasant, WI 53406-5049
Mailing Address233 Lake Ave Apt 228Racine, WI 53403-1045 · (571) 430-0432
Phone(262) 270-6933
Sole ProprietorYes
Enumeration DateOctober 9, 2024
Last NPPES UpdateOctober 5, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1780403477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6001855
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6035 DURAND AVE, Mt Pleasant, WI 53406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Dominion National, Guardian and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

WISCONSIN VISION, LLC
Optometrist
6035 DURAND AVE
RACINE, WI 53406
Racine County (262) 554-8600
SARA DARVISHIABYANEH
Dentist
6035 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 270-6933
OXFORD DENTAL LLC
Clinic/Center (Dental)
6035 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (720) 210-3078
RAMANPREET KAUR
Dentist (General Practice)
6035 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 270-6933

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 Omid Khaksarfard's NPI number?

The NPI number for Omid Khaksarfard is 1780403477. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Omid Khaksarfard located?

Omid Khaksarfard practices at 6035 Durand Ave, Mt Pleasant, WI 53406. The listed phone number is (262) 270-6933.

What is Omid Khaksarfard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Omid Khaksarfard accept?

Health plans from BEST Life, Dominion National, Guardian, HRI Dental & Vision and Humana and 1 other insurer list Omid Khaksarfard 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 Omid Khaksarfard was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.