Active NPI
Ali Shoaee, DDS
- Dentist
- Houston, TX
National Provider Identifier
1063538700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22119
- Practice address
- 1013 Dairy Ashford Rd
Houston, TX 77079-4602 - Phone
- (832) 230-5222
- Fax
- (832) 200-3161
- NPI assigned
- Mar 22, 2007
- Last updated
- Mar 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22119 | TX | Primary |
Addresses
Primary practice location
1013 Dairy Ashford Rd
Houston, TX 77079-4602
Mailing address
1013 Dairy Ashford Rd
Houston, TX 77079-4602
Phone (832) 230-5222
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 |
|---|---|---|---|
| 22119 | TX | MD | Dentist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1063538700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 DAIRY ASHFORD RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770794602",
"telephone_number": "832-230-5222",
"fax_number": "832-200-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 DAIRY ASHFORD RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770794602",
"telephone_number": "832-230-5222",
"fax_number": "832-200-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOAEE",
"first_name": "ALI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22119",
"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 Mar 18, 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.