Active NPI
Ehsan Javidan-Nejad, DDS
- General Practice Dentistry
- Grand Prairie, TX
National Provider Identifier
1053621516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27429
- Practice address
- 1021 SW 3Rd St
Grand Prairie, TX 75051-3070 - Phone
- (972) 264-4791
- Fax
- (972) 264-4794
- NPI assigned
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901020312 | MI | |
| General Practice Dentistry | 1223G0001X | 27429 | TX | Primary |
Addresses
Primary practice location
1021 SW 3Rd St
Grand Prairie, TX 75051-3070
Mailing address
8112 Ambiance Way
Plano, TX 75024-6835
Phone (313) 529-2404
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 |
|---|---|---|---|
| 2901020312 | MI | MD | General Practice Dentistry |
| 27429 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyal Family Dentistry | Past | Accepting new patients | |
| Cary B Askins DDS Inc | Past | Accepting new patients | |
| Dental Experts, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Grand Prairie, TX
- NPI 1003280371
-
- Dentist
- Grand Prairie, TX
- NPI 1710097431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1053621516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8112 AMBIANCE WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750246835",
"telephone_number": "313-529-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 SW 3RD ST",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513070",
"telephone_number": "972-264-4791",
"fax_number": "972-264-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVIDAN-NEJAD",
"first_name": "EHSAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901020312",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.