Active NPI
Pouya Golbandi, DDS
- Dentist
- Addison, TX
National Provider Identifier
1225524408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34791
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34791 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golbandi Dentistry PLLC | Current | Accepting new patients | |
| Kirmal Masih-Joseph DDS PC | Past | 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.
-
- Dental Clinic/Center
- Addison, TX
- NPI 1689280380
-
- Dental Clinic/Center
- Richardson, TX
- NPI 1649050642
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.