Kooroush Mansourzadeh, D.D.S.
NPI 1417309790ActiveIndividual· Dentist· Kent, WA
Dentist (D.D.S.) in Kent, Washington, licensed in WA, with an NPI issued in July 2016. Ultradent Products Inc reported $136.49 in payments in 2025, mostly gifts.
Overview
| NPI | 1417309790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2016 |
| Last updated in NPPES | Jul 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DE60655131 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$136.49 · 1 payment from 1 company
- 2024$19.81 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $136.49 | 1 |
What the 2025 payments were for
- Gift$136.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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