Active NPI
Little Elm Dental Care PA
- General Practice Dentistry
- Little Elm, TX
National Provider Identifier
1124459607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20467
- Legal business name
- LITTLE ELM DENTAL CARE PA
- Practice address
- 800 W Eldorado Pkwy
Suite 124
Little Elm, TX 75068-5088 - Phone
- (972) 292-3820
- Fax
- (972) 292-3802
- NPI assigned
- Dec 9, 2013
- 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
- Dr. Kaivan Kevin Afkhami, DDS
- Title
- President
- Phone
- (817) 577-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20467 | TX | Primary |
Addresses
Primary practice location
800 W Eldorado Pkwy
Suite 124
Little Elm, TX 75068-5088
Mailing address
1801 Precinct Line Rd
Suite a
Hurst, TX 76054-3170
Phone (817) 577-9200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386547200000",
"number": "1124459607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 PRECINCT LINE RD",
"address_2": "SUITE A",
"city": "HURST",
"state": "TX",
"postal_code": "760543170",
"telephone_number": "817-577-9200",
"fax_number": "817-281-9231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W ELDORADO PKWY",
"address_2": "SUITE 124",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685088",
"telephone_number": "972-292-3820",
"fax_number": "972-292-3802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE ELM DENTAL CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-09",
"last_updated": "2013-12-09",
"status": "A",
"authorized_official_last_name": "AFKHAMI",
"authorized_official_first_name": "KAIVAN",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-577-9200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Elm, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.