Shadrouz Kianouri, DDS, MAGD
NPI 1699826479 · Public Health Dentistry · Bishop, CA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shadrouz Kianouri, DDS, MAGD is a Public Health Dentistry provider in Bishop, CA (NPI 1699826479).
Provider details
- NPI number
- 1699826479
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DDS, MAGD
- Sex
- Male
- Sole proprietor
- No
- License
- 51177 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1150 S Goodwin RoadLone Pine, CA 93545Phone: (760) 876-4795
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2022-08-03
- Certified
- 2022-07-26
Frequently asked questions
- What is Shadrouz Kianouri's NPI number?
- Shadrouz Kianouri's National Provider Identifier (NPI) is 1699826479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shadrouz Kianouri's specialty?
- Shadrouz Kianouri is listed in the NPPES registry with a primary specialty of Public Health Dentistry (Dental Providers).
- Where is Shadrouz Kianouri located?
- Shadrouz Kianouri's practice location on file with NPPES is 250 N See Vee Ln, Bishop, CA 93514-8130.
- What is Shadrouz Kianouri's phone number?
- The practice phone number listed in the NPPES registry for Shadrouz Kianouri is (760) 873-3443.
- Does Shadrouz Kianouri accept Medicare?
- Shadrouz Kianouri is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shadrouz Kianouri's NPI active?
- Yes — Shadrouz Kianouri's NPI (1699826479) is active in the NPPES registry as of the last update on 2022-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.