Individual provider Active NPI

Indrajit Sehbi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Flower Mound, TX
National Provider Identifier
1255842043
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
33333 Issued in TX
Practice address
651 Cross Timbers Rd Ste 103
Flower Mound, TX 75028-1300
Phone
(979) 218-1799
NPI assigned
Oct 19, 2017
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 33333 TX Primary

Addresses

Primary practice location

651 Cross Timbers Rd Ste 103
Flower Mound, TX 75028-1300

Mailing address

3208 Adirondack LN
Frisco, TX 75033-1160
Phone (979) 218-1799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 27, 2024 through Jun 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33333TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tcosdi Frisco Oral and Maxillofacial Surgery PastSince Jun 5, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1255842043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 ADIRONDACK LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331160",
            "telephone_number": "979-218-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 CROSS TIMBERS RD STE 103",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281300",
            "telephone_number": "979-218-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHBI",
        "first_name": "INDRAJIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "33333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.