Doctor profile · Federal record

Dr. Kooroush Mansourzadeh, D.D.S.

Dentist · Kent, WA

  • NPI 1417309790
  • 10 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
12906 Se Kent Kangley RD
Kent, WA 980307940
(253) 361-3015

Credentials & registration

NPPES · NUCC
NPI registered
July 2016 — 10 yrs on file
Specialty taxonomy
122300000X — NUCC code
State license (1)
Washington #DE60655131

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417309790. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$20
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Align Technology, Inc. 1 $19.81

By nature of payment

Food and Beverage
$20

Frequently asked questions

Auto-generated from federal data
What is Dr. Kooroush Mansourzadeh's medical specialty?
Dr. Kooroush Mansourzadeh practices Dentist in Kent, WA.
Where does Dr. Kooroush Mansourzadeh practice?
Dr. Kooroush Mansourzadeh practices at 12906 Se Kent Kangley RD, Kent, WA 980307940. Office phone: 2533613015.
What is Dr. Kooroush Mansourzadeh's NPI?
Dr. Kooroush Mansourzadeh's National Provider Identifier (NPI) is 1417309790, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 30, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›