Individual provider Active NPI

Sarah Amidzadeh, D.D.S

  • General Practice Dentistry
  • Pearland, TX
National Provider Identifier
1003220286
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30107 Issued in TX
Practice address
3609 Business Center Dr Ste 108
Pearland, TX 77584-4168
Phone
(713) 434-1200
Fax
(713) 434-1201
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30107 TX Primary

Addresses

Primary practice location

3609 Business Center Dr Ste 108
Pearland, TX 77584-4168

Mailing address

3609 Business Center Dr Ste 108
Pearland, TX 77584-4168
Phone (713) 434-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Signature Dentistry General Practice Current Accepting new patients
Pristine Dental P.L.L.C Past Accepting new patients
NBNL Dental PLLC General Practice PastSince Sep 13, 2020 Accepting new patients

Locations

3609 Business Center Dr
Ste 108
Pearland, TX 77584
Phone (713) 434-1200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1003220286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 BUSINESS CENTER DR STE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844168",
            "telephone_number": "713-434-1200",
            "fax_number": "713-434-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 BUSINESS CENTER DR STE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844168",
            "telephone_number": "713-434-1200",
            "fax_number": "713-434-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIDZADEH",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.