IndividualActive
Ethan Kimiabakhsh
NPI 1790461721 · Dentist · New York, NY
Ethan Kimiabakhsh is a Dentist provider in New York, NY (NPI 1790461721).
Provider details
- NPI number
- 1790461721
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 064831 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
345 E 24th St
New York, NY 10010-4020
Phone: (212) 998-9800
Street-level locationGet directions
Mailing address
423 E 23rd St
New York, NY 10010-5011
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Ethan Kimiabakhsh's NPI number?
- Ethan Kimiabakhsh's National Provider Identifier (NPI) is 1790461721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Kimiabakhsh's specialty?
- Ethan Kimiabakhsh is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ethan Kimiabakhsh located?
- Ethan Kimiabakhsh's practice location on file with NPPES is 345 E 24th St, New York, NY 10010-4020.
- What is Ethan Kimiabakhsh's phone number?
- The practice phone number listed in the NPPES registry for Ethan Kimiabakhsh is (212) 998-9800.
- Is Ethan Kimiabakhsh's NPI active?
- Yes — Ethan Kimiabakhsh's NPI (1790461721) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.