Active NPI
Shayan Azimi, DMD
- Dentist
- Garland, TX
National Provider Identifier
1043871361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35323
- Practice address
- 565 W Oates Rd Ste 150
Garland, TX 75043-5462 - Phone
- (214) 473-5696
- NPI assigned
- Jun 26, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 35323 | TX | Primary |
Addresses
Primary practice location
565 W Oates Rd Ste 150
Garland, TX 75043-5462
Mailing address
2650 Cedar Springs Rd Apt 3324
Dallas, TX 75201-1446
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 |
|---|---|---|---|
| 35323 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King Dental Partners PLLC | Past | Accepting new patients | |
| Ac King Dental PLLC | 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.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1366921231
-
- General Practice Dentistry
- Dallas, TX
- NPI 1134998941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1043871361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 CEDAR SPRINGS RD APT 3324",
"city": "DALLAS",
"state": "TX",
"postal_code": "752011446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 W OATES RD STE 150",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435462",
"telephone_number": "214-473-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIMI",
"first_name": "SHAYAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.