Organization Active NPI

Garland Main Dental Group PA

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1184947533
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARLAND MAIN DENTAL GROUP PA
Practice address
107 S 1St St Ste a
Garland, TX 75040-7219
Phone
(972) 276-0159
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Authorized official

Name
Dr. Hessam Rahimi, DDS, DMSC, MBANPI 1275791014
Title
Owner
Phone
(972) 276-0159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

107 S 1St St Ste a
Garland, TX 75040-7219

Mailing address

107 S 1St St Ste a
Garland, TX 75040-7219
Phone (972) 276-0159

Other names 1

  • Optima Dentistry at Garland Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1184947533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S 1ST ST STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750407219",
            "telephone_number": "972-276-0159",
            "fax_number": "214-432-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 1ST ST STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750407219",
            "telephone_number": "972-276-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND MAIN DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "HESSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-276-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, DMSC, MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Dentistry at Garland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.