Individual provider Active NPI

Amin M Ashfour, DDS

  • Dentist
  • Flower Mound, TX
National Provider Identifier
1184751208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17263 Issued in TX
Practice address
3051 Churchill Dr Ste 200
Flower Mound, TX 75022-5901
Phone
(972) 539-0065
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17263 TX Primary

Addresses

Primary practice location

3051 Churchill Dr Ste 200
Flower Mound, TX 75022-5901

Mailing address

3051 Churchill Dr Ste 200
Flower Mound, TX 75022-5901

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
I20160323002604 TX Order and Referring Only - DentistPractitioner - Dentist 3971800681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17263TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184751208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225901",
            "telephone_number": "972-539-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHFOUR",
        "first_name": "AMIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.