Kooroush Mansourzadeh, D.D.S.
Dentist · Kent, WA
Kooroush Mansourzadeh, D.D.S. is a dentist with a practice address in Kent, Washington, and NPI 1417309790, issued on Jul 11, 2016. Check the license (Washington DE60655131, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kooroush Mansourzadeh
- Credential
- D.D.S.
- Primary taxonomy
- Dentist 122300000X
- License number
- DE60655131 WA
Self-reported in NPPES; status is on the state search - Practice location
- 12906 SE Kent Kangley RD, Kent, WA 98030
- Phone
- (253) 361-3015
- Enumerated
- Jul 11, 2016
- Record last updated
- Jul 11, 2016 (not updated in 10 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest dentist records → All 2,767 in Washington → Look up another NPI →
Also registered at 12906 SE Kent Kangley RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Paul CampbellGeneral Practice Dentistry1942126156
Verify Kooroush Mansourzadeh in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license DE60655131Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $19.81
1 payment: food and beverage; the largest payer was Align Technology, Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kooroush Mansourzadeh among 2,767 dentist records in Washington
Kooroush Mansourzadeh, D.D.S. is one of 2,767 dentist records with a practice address in Washington. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 65% of them.
- NPI issued2016 · 65% of these records are older, 31% newer
- In a Medicare fileYes · 60% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2016 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
46 dentist records list a practice address in Kent
They are 46 of the 2,674 NPPES records with a practice address in Kent, and 2,767 dentist records in Washington.
All 2,767 in Washington → Every provider in Kent → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Jayanthi Bantwal, DDSKent, WA 980301699890335
- Manpreet Dhaliwal, DDSKent, WA 980301114208782
- Richard Ford, DDSKent, WA 980301144279647
- Melanie Garcia, D.D.SKent, WA 980301255746830
- Donald Hainer, D.D.SKent, WA 980301891825303
- Lee Ann Jinguji, DDSKent, WA 980301245223940
- Moonchin Kim, D.D.S.Kent, WA 980301215131693
- Daniel Kraus, DDSKent, WA 980301255324950
Common questions
What is Kooroush Mansourzadeh, D.D.S.'s NPI number?
Kooroush Mansourzadeh, D.D.S.'s National Provider Identifier (NPI) is 1417309790, issued on Jul 11, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Kooroush Mansourzadeh, D.D.S. located?
The NPPES record lists a practice address at 12906 SE Kent Kangley RD, Kent, WA, 98030. Phone: (253) 361-3015. Providers update this record themselves, so call before visiting.
How can I verify Kooroush Mansourzadeh, D.D.S.'s license?
NPPES lists Washington license number DE60655131, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.