Individual provider Active NPI

Sharareh Pisheh, D.D.S

  • Dentist
  • Galveston, TX
National Provider Identifier
1255628236
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27145 Issued in TX
Practice address
6821 Stewart Rd
Galveston, TX 77551-1841
Phone
(409) 741-0202
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27145 TX Primary

Addresses

Primary practice location

6821 Stewart Rd
Galveston, TX 77551-1841

Mailing address

6239 Channelbrook LN
Spring, TX 77379-3065
Phone (832) 596-7312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729001892 TX Practitioner - Oral Surgery 3173816055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27145TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KBK Group Current Accepting new patients
NBNL Dental PLLC CurrentSince Sep 13, 2020 Accepting new patients
Island Dental Past Accepting new patients

Locations

4400 North Fwy
Spc C300
Houston, TX 77022
Phone (713) 691-1300

Organizations & group practices 3

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1255628236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 CHANNELBROOK LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793065",
            "telephone_number": "832-596-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 STEWART RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511841",
            "telephone_number": "409-741-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHEH",
        "first_name": "SHARAREH",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.