Individual provider Active NPI

Mehrnaz Iranmehr, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1194805549
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21269 Issued in TX
Practice address
17000 Preston Rd Ste 170
Dallas, TX 75248-1224
Phone
(972) 447-9707
Fax
(972) 447-9779
NPI assigned
Oct 17, 2006
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 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 21269 TX Primary

Addresses

Primary practice location

17000 Preston Rd Ste 170
Dallas, TX 75248-1224

Mailing address

17000 Preston Rd Ste 170
Dallas, TX 75248-1224
Phone (972) 447-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 4, 2016 through Apr 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21269TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Family Dentistry PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

17000 Preston Rd
Ste 170
Dallas, TX 75248
Phone (972) 447-9707

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1194805549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 PRESTON RD STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481224",
            "telephone_number": "972-447-9707",
            "fax_number": "972-447-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 PRESTON RD STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481224",
            "telephone_number": "972-447-9707",
            "fax_number": "972-447-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANMEHR",
        "first_name": "MEHRNAZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.