KOOSHA FARNOOSH
NPI 1801270996
Dentist in Crofton, MD

Active since July 17, 2015PECOS Enrolled
1286 STATE ROUTE 3 S STE 7, CROFTON, MD 21114(410) 721-7629 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koosha Farnoosh NPPES

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

KOOSHA FARNOOSH (NPI 1801270996) is an individual dentist in Crofton, Maryland, licensed in Maryland (15963) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801270996
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKOOSHA FARNOOSH
Location Address1286 STATE ROUTE 3 S STE 7Crofton, MD 21114-1340
Mailing Address1286 State Route 3 N #7Crofton, MD 21114
Sole ProprietorNo
Enumeration DateJuly 17, 2015
NPI 1801270996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MD · 15963
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1286 STATE ROUTE 3 S STE 7, Crofton, MD 21114

Accepted 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)

Koosha Farnoosh 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 21114 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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

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

Dentist (Periodontics)
1286 STATE ROUTE 3 S STE 7
CROFTON, MD 21114

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 Koosha Farnoosh's NPI number?

The NPI number for Koosha Farnoosh is 1801270996. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Koosha Farnoosh located?

Koosha Farnoosh practices at 1286 State Route 3 S Ste 7, Crofton, MD 21114. The listed phone number is (410) 721-7629.

What is Koosha Farnoosh's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Koosha Farnoosh enrolled in Medicare?

Yes. Koosha Farnoosh is registered in the Medicare PECOS enrollment system.

What insurance does Koosha Farnoosh accept?

Health plans from Anthem Blue Cross and Blue Shield list Koosha Farnoosh 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 Koosha Farnoosh was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.