NPIMap

Organization Active NPI

West Texas Dental

  • General Practice Dentistry
  • Richardson, TX
National Provider Identifier
1083912877
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19711 Issued in TX
Legal business name
WEST TEXAS DENTAL
Practice address
2133 Buckingham Rd
Richardson, TX 75081-5477
Phone
(916) 716-8311
NPI assigned
Mar 3, 2011
Last updated
Mar 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Hossain DezhamNPI 1710166772
Title
President
Phone
(916) 716-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19711 TX Primary

Addresses

Primary practice location

2133 Buckingham Rd
Richardson, TX 75081-5477

Mailing address

2133 Buckingham Rd
Richardson, TX 75081-5477
Phone (916) 716-8311

National Provider Directory

National Provider Directory
Tax ID family
Western Dental5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1083912877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 BUCKINGHAM RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815477",
            "telephone_number": "916-716-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 BUCKINGHAM RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815477",
            "telephone_number": "916-716-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "DEZHAM",
        "authorized_official_first_name": "HOSSAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-716-8311",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.