Sedg PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20196 Issued in TX

Legal business name

SEDG PC

Practice address

1427 Wilcrest Dr
Houston, TX 77042-2227

Phone

(832) 293-2859

Fax

(713) 667-9011

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Soroush Esfandiari, D.D.S.

Title

President

Phone

(713) 667-9311

Specialties & licenses 1

Addresses

Other names 1

• Smile Doctors Doing business as

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1134415714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422227",
            "telephone_number": "832-293-2859",
            "fax_number": "713-667-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422227",
            "telephone_number": "832-293-2859",
            "fax_number": "713-667-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "ESFANDIARI",
        "authorized_official_first_name": "SOROUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-667-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Securecare PCS, LLC
• Securerx Healthcare, LLC
• Mahdia Seddiqi, PHARM.D
• Heriberto Sedeno, MD
• Stephen Jay Seder, D.D.S., M.S.
• Amgad Sedrak, RPH
• Joseph Fayez Sedrak, M.D.
• Michael Sedrak, MD
• Tanagela Sedziafa, M.A.
• See Change Counseling and Consulting, PLLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.