Individual provider Active NPI

Neda Mohammadi, DMD

  • General Practice Dentistry
  • North Richland Hills, TX
National Provider Identifier
1184076960
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31901 Issued in TX
Practice address
8528 Davis Blvd Ste 100
North Richland Hills, TX 76182-8368
Phone
(817) 605-8067
NPI assigned
Jul 6, 2016
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 31901 TX Primary

Addresses

Primary practice location

8528 Davis Blvd Ste 100
North Richland Hills, TX 76182-8368

Mailing address

1503 Colin CT
Keller, TX 76248-2024
Phone (504) 723-7393

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
I20250815003881 TX Order and Referring Only - DentistPractitioner - Dentist 3971002007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31901TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1184076960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 COLIN CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482024",
            "telephone_number": "504-723-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BLVD STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828368",
            "telephone_number": "817-605-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "NEDA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.