Active NPI
Ghazaleh Ghaneh
- Endodontics
- Houston, TX
National Provider Identifier
1043615511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 30441
- Practice address
- 7500 Cambridge St
Suite 6400
Houston, TX 77054-2032 - Phone
- (713) 382-0138
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30441 | TX | Primary |
Addresses
Primary practice location
7500 Cambridge St
Suite 6400
Houston, TX 77054-2032
Mailing address
2001 Holcombe Blvd
Unit 2905
Houston, TX 77030-4222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30441 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1043615511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 HOLCOMBE BLVD",
"address_2": "UNIT 2905",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 CAMBRIDGE ST",
"address_2": "SUITE 6400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542032",
"telephone_number": "713-382-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANEH",
"first_name": "GHAZALEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "30441",
"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 Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.