Organization Active NPI

Highland Rejuvenation Clinic LLC

  • Dental Clinic/Center
  • Georgetown, TX
National Provider Identifier
1093500837
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Behrouz Beheshtin, DDSNPI 1659903912
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.