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Omid Khaksarfard
NPI 1780403477 · General Practice Dentistry · Mt Pleasant, WI
Omid Khaksarfard is a General Practice Dentistry provider in Mt Pleasant, WI (NPI 1780403477).
Provider details
- NPI number
- 1780403477
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6001855 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
6035 Durand Ave
Mt Pleasant, WI 53406-5049
Phone: (262) 270-6933
Street-level locationGet directions
Mailing address
233 Lake Ave Apt 228
Racine, WI 53403-1045
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2025-10-05
- Certified
- 2025-10-05
Frequently asked questions
- What is Omid Khaksarfard's NPI number?
- Omid Khaksarfard's National Provider Identifier (NPI) is 1780403477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Omid Khaksarfard's specialty?
- Omid Khaksarfard is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Omid Khaksarfard located?
- Omid Khaksarfard's practice location on file with NPPES is 6035 Durand Ave, Mt Pleasant, WI 53406-5049.
- What is Omid Khaksarfard's phone number?
- The practice phone number listed in the NPPES registry for Omid Khaksarfard is (262) 270-6933.
- Is Omid Khaksarfard's NPI active?
- Yes — Omid Khaksarfard's NPI (1780403477) is active in the NPPES registry as of the last update on 2025-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.