Organization Active NPI

Little Elm Dental Care PA

  • General Practice Dentistry
  • Little Elm, TX
National Provider Identifier
1124459607
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20467 Issued in TX
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

Updated by the provider on Dec 9, 2013

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.