Active NPI
Seyed Afshan Miri, D.D.S.
- Dentist
- San Marcos, TX
National Provider Identifier
1245613538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31113
- Practice address
- 651 Barnes Dr
205
San Marcos, TX 78666-6198 - Phone
- (512) 805-4867
- NPI assigned
- Jul 4, 2015
- Last updated
- Oct 29, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 31113 | TX | Primary |
Addresses
Primary practice location
651 Barnes Dr
205
San Marcos, TX 78666-6198
Mailing address
5909 Waymaker CV
Austin, TX 78746-1855
Phone (512) 431-6860
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 |
|---|---|---|---|
| 31113 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Dental-San Marcos PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- San Marcos, TX
- NPI 1700166634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1245613538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 WAYMAKER CV",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787461855",
"telephone_number": "512-431-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 BARNES DR",
"address_2": "205",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666198",
"telephone_number": "512-805-4867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRI",
"first_name": "SEYED",
"middle_name": "AFSHAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-04",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.