Active NPI
Highland Rejuvenation Clinic LLC
- Dental Clinic/Center
- Georgetown, TX
National Provider Identifier
1093500837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- HIGHLAND REJUVENATION CLINIC LLC
- Practice address
- 2951 FM 1460 Unit 1801
Georgetown, TX 78626-7423 - Phone
- (240) 305-4819
- NPI assigned
- Apr 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Behrouz Beheshtin, DDS
- Title
- Managerial Member
- Phone
- (703) 655-2747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2951 FM 1460 Unit 1801
Georgetown, TX 78626-7423
Mailing address
2951 FM 1460 Unit 1801
Georgetown, TX 78626-7423
Phone (240) 305-4819
Other names 1
- Highland Rejuvenation Clinic
National Provider Directory
National Provider DirectoryLocations
2951 FM 1460
Unit 1801
Georgetown, TX 78626
Phone (240) 305-4819
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Round Rock, TX
- NPI 1659903912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1093500837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 FM 1460 UNIT 1801",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267423",
"telephone_number": "240-305-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 FM 1460 UNIT 1801",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267423",
"telephone_number": "240-305-4819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND REJUVENATION CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "BEHESHTIN",
"authorized_official_first_name": "BEHROUZ",
"authorized_official_title_or_position": "MANAGERIAL MEMBER",
"authorized_official_telephone_number": "703-655-2747",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Rejuvenation Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.