Individual provider Active NPI

Iman Marashi, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1174185284
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35418 Issued in TX
Practice address
7807 Hermosa HL
San Antonio, TX 78256-2455
Phone
(210) 800-5721
NPI assigned
Jun 28, 2019
Last updated
Jun 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35418 TX Primary

Addresses

Primary practice location

7807 Hermosa HL
San Antonio, TX 78256-2455

Mailing address

2310 SW Military Dr Ste 406
San Antonio, TX 78224-1409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801000094 TX Order and Referring Only - DentistPractitioner - Dentist 4789066283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1174185284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 SW MILITARY DR STE 406",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 HERMOSA HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562455",
            "telephone_number": "210-800-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASHI",
        "first_name": "IMAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.