Individual provider Active NPI

Ali Pourhaghi, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1023209285
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18308 Issued in TX
Practice address
6220 Dashwood Dr
Houston, TX 77081-4214
Phone
(713) 771-8883
Fax
(713) 771-9993
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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 18308 TX Primary

Addresses

Primary practice location

6220 Dashwood Dr
Houston, TX 77081-4214

Mailing address

6220 Dashwood Dr
Houston, TX 77081-4214
Phone (713) 771-8883

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18308TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Dental Clinic Inc General Practice Past Accepting new patients
Diamond Plus Dental,P.C. Past Accepting new patients

Organizations & group practices 2

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1023209285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 DASHWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814214",
            "telephone_number": "713-771-8883",
            "fax_number": "713-771-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 DASHWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814214",
            "telephone_number": "713-771-8883",
            "fax_number": "713-771-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURHAGHI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.