Dr Kourosh Dianatyazdi, DDS - Medicare Dentist in Palm Desert, CA

Dr Kourosh Dianatyazdi, DDS is a medicare enrolled "Dentist - General Practice" provider in Palm Desert, California. His current practice location is 77564 Country Club Dr, Suite 350, Palm Desert, California. You can reach out to his office (for appointments etc.) via phone at (760) 772-7082.

Dr Kourosh Dianatyazdi is licensed to practice in California (license number 50457) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033205026.

Contact Information

Dr Kourosh Dianatyazdi, DDS
77564 Country Club Dr, Suite 350,
Palm Desert, CA 92211-0484
(760) 772-7082
(760) 772-7085



Healthcare Provider's Profile

Full NameDr Kourosh Dianatyazdi
GenderMale
SpecialityDentist - General Practice
Location77564 Country Club Dr, Palm Desert, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033205026
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 04/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4183927551
  • Enrollment ID: I20160414001423

Medical Identifiers

Medical identifiers for Dr Kourosh Dianatyazdi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033205026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 50457 (California)Primary
1223S0112XDentist - Oral And Maxillofacial Surgery 50457 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kourosh Dianatyazdi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kourosh Dianatyazdi, DDS
77564 Country Club Dr, Suite 350,
Palm Desert, CA 92211-0484

Ph: (760) 772-7082
Dr Kourosh Dianatyazdi, DDS
77564 Country Club Dr, Suite 350,
Palm Desert, CA 92211-0484

Ph: (760) 772-7082

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› Verified 8 days ago


Dentist in Palm Desert, CA

Dr. Steve Phan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44139 Monterey Ave #e, Palm Desert, CA 92260
Phone: 760-340-4494    Fax: 760-779-0351
Dr. Luz M Cuestas, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44853 Portola Ave, Palm Desert, CA 92260
Phone: 760-851-0643    
Dr. Christine Elyse Petrilla, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 72333 Highway 111, Suite B, Palm Desert, CA 92260
Phone: 760-674-9666    
Dr. Junho Choi, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 74133 El Paseo Ste D, Palm Desert, CA 92260
Phone: 760-346-8056    
Dr. Kristina Hang Pham, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 44139 Monterey Ave, Suite #e, Palm Desert, CA 92260
Phone: 760-340-4494    
Dr. Thomas Michael Curiel, DMD
Dentist
Medicare: Accepting Medicare Assignments
Practice Location: 73211 Fred Waring Dr Ste 201, Palm Desert, CA 92260
Phone: 760-568-3368    

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