Active NPI
Parya Etebari, D.D.S.
- Pediatric Dentistry
- Frisco, TX
National Provider Identifier
1215284393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 26189
- Practice address
- 12398 FM 423
Suite 1900
Frisco, TX 75033-4758 - Phone
- (214) 436-4774
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 26189 | TX | Primary |
Addresses
Primary practice location
12398 FM 423
Suite 1900
Frisco, TX 75033-4758
Mailing address
5301 Old Shepard PL
Plano, TX 75093-2823
Phone (214) 535-9554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26189 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mila Davis, DDS, PC | Pediatric Dentistry | Past | Accepting new patients |
| Mila Davis DDS, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Frisco, TX
- NPI 1740721422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1215284393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 OLD SHEPARD PL",
"city": "PLANO",
"state": "TX",
"postal_code": "750932823",
"telephone_number": "214-535-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12398 FM 423",
"address_2": "SUITE 1900",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334758",
"telephone_number": "214-436-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETEBARI",
"first_name": "PARYA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "26189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.