Individual provider Active NPI

Hamid Reza Kashani Madjd, D.D.S.

  • Dentist
  • Dallas, TX
National Provider Identifier
1114164480
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24349 Issued in TX
Practice address
3701 W Northwest Highway
Suite # 306
Dallas, TX 75220
Phone
(214) 353-0683
Fax
(972) 764-8760
NPI assigned
Jan 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24349 TX Primary
Dentist 122300000X 0024349 TX

Addresses

Primary practice location

3701 W Northwest Highway
Suite # 306
Dallas, TX 75220

Mailing address

3701 W Northwest Highway
Suite # 306
Dallas, TX 75220
Phone (214) 353-0683

Other names 1

  • Dr. Hamid Kashani Other name

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

LicenseStateTypeSpecialty
0024349TXMDDentist
24349TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
HST PLLC PastSince Jun 30, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1114164480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W NORTHWEST HIGHWAY",
            "address_2": "SUITE # 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75220",
            "telephone_number": "214-353-0683",
            "fax_number": "972-764-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W NORTHWEST HIGHWAY",
            "address_2": "SUITE # 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75220",
            "telephone_number": "214-353-0683",
            "fax_number": "972-764-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADJD",
        "first_name": "HAMID",
        "middle_name": "REZA KASHANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24349",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0024349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMID",
            "last_name": "KASHANI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.