Individual provider Active NPI

Hassan Shahabinejad

  • Endodontics
  • Frisco, TX
National Provider Identifier
1033690052
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
36400 Issued in TX
Practice address
5350 Independence Pkwy Ste 150
Frisco, TX 75035-4656
Phone
(469) 460-6950
NPI assigned
Aug 27, 2018
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL13750 MA
Student in an Organized Health Care Education/Training Program 390200000X
Endodontics 1223E0200X 36400 TX Primary

Addresses

Primary practice location

5350 Independence Pkwy Ste 150
Frisco, TX 75035-4656

Mailing address

7850 Communications Pkwy Apt 1404
Plano, TX 75024-0398
Phone (857) 206-3842

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
DL13750MAMDDentist
36400TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1033690052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 COMMUNICATIONS PKWY APT 1404",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240398",
            "telephone_number": "857-206-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PKWY STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354656",
            "telephone_number": "469-460-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHABINEJAD",
        "first_name": "HASSAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13750",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "36400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.