Organization Active NPI

Simi Abraham PLLC

Doing business as Castle Hills Pediatric Dentistry

  • Pediatric Dentistry
  • Carrollton, TX
National Provider Identifier
1215569975
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SIMI ABRAHAM PLLC
Doing business as
Castle Hills Pediatric Dentistry
Practice address
4541 N Josey LN Ste 210
Carrollton, TX 75010-4780
Phone
(469) 669-0222
Fax
(469) 669-0221
NPI assigned
Feb 10, 2020
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Dr. Simi Abraham, DDSNPI 1891007548
Title
Pediatric Dentist
Phone
(423) 240-4713

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
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

4541 N Josey LN Ste 210
Carrollton, TX 75010-4780

Mailing address

2101 Ironside Dr
Lewisville, TX 75056-4215
Phone (423) 240-4713

Other names 1

  • Castle Hills Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4541 N Josey Ln
Ste 210
Carrollton, TX 75010
Phone (469) 669-0222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1215569975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 IRONSIDE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564215",
            "telephone_number": "423-240-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 210",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104780",
            "telephone_number": "469-669-0222",
            "fax_number": "469-669-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI ABRAHAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "SIMI",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "423-240-4713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Hills Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.