Soheil Karbassi

Primary specialty

DentistTaxonomy code 122300000X

License

36963 Issued in TX

Practice address

4901 E 42ND St Ste B
Odessa, TX 79762-7338

Phone

(432) 242-8827

NPI assigned

Jan 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shingala Dental PLLC

  • General Practice Dentistry
  • Odessa, TX
  • NPI 1184259236
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1003404849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945370017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 E 42ND ST STE B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627338",
            "telephone_number": "432-242-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBASSI",
        "first_name": "SOHEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sindhu Reddy Kaitha, M.D.
• Tavai Kallay
• Kamal N. Tolia, M.D., P.a.
• Srikala Kambampati
• Ramcharitha Kandikatla, M.D.
• Roman Karkee, MD
• Sendhil Raj Karmegam, MD
• Sobana Karunanithi, M.D.
• Kashi Holdings LLC
• Jose A. Katada, CRNA

• Dentist in Odessa, TX
• Providers in Odessa, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.