Mina Tabatabai, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

29859 Issued in TX

Practice address

7700 Fulton St Ste a
Houston, TX 77022-3642

Phone

(832) 422-5792

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Minali Corporation

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1295250785
  NPD (past) Authorized official

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1225470206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 SAXON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770925543",
            "telephone_number": "727-515-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FULTON ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223642",
            "telephone_number": "832-422-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102501",
            "country_code": "US",
            "telephone_number": "202-829-5437",
            "fax_number": "202-829-9255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABATABAI",
        "first_name": "MINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001270",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15451",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353682310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony K Tabarestani, D.C.
• Mohammadreza Tabary, MD
• Ayesha Tabassum, DDS
• Mika Tabata, MD
• Laila S Tabatabai, MD
• Seyed Mohammad Tabatabai, MD
• Sawsan Omar Nimer Tabaza, MD
• Tabb Pharmacy LLC (TABB Pharmacy)
• Lori H Tabb, LCSW
• Zachary Tabb

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.