Individual provider Active NPI

Pouya Golbandi, DDS

  • Dentist
  • Addison, TX
National Provider Identifier
1225524408
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34791 Issued in TX
Practice address
15851 Dallas Pkwy Ste 306,#444
Addison, TX 75001-6313
Phone
(469) 231-4887
NPI assigned
Jul 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34791 TX Primary

Addresses

Primary practice location

15851 Dallas Pkwy Ste 306,#444
Addison, TX 75001-6313

Mailing address

15851 Dallas Pkwy Ste 306,#444
Addison, TX 75001-6313
Phone (469) 231-4887

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

LicenseStateTypeSpecialty
34791TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golbandi Dentistry PLLC CurrentSince Sep 20, 2020 Accepting new patients
Kirmal Masih-Joseph DDS PC PastSince Oct 8, 2023 Accepting new patients

Locations

15851 Dallas Pkwy
Ste 306444
Addison, TX 75001
Phone (469) 231-4887

670 W Campbell Rd
Ste 120
Richardson, TX 75080
Phone (469) 709-8222

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1225524408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15851 DALLAS PKWY STE 306,#444",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016313",
            "telephone_number": "469-231-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15851 DALLAS PKWY STE 306,#444",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016313",
            "telephone_number": "469-231-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBANDI",
        "first_name": "POUYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.