Individual provider Active NPI

Hessam Rahimi, DDS, DMSC, MBA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dallas, TX
National Provider Identifier
1275791014
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
27132 Issued in TX
Practice address
19200 Preston Rd Ste 100
Dallas, TX 75252-2450
Phone
(972) 666-5363
Fax
(972) 666-4944
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 27132 TX Primary

Addresses

Primary practice location

19200 Preston Rd Ste 100
Dallas, TX 75252-2450

Mailing address

19200 Preston Rd Ste 100
Dallas, TX 75252-2450
Phone (972) 666-4949

Other practice location 1

107 S 1st St Ste A
Garland, TX 75040-7219
Phone (972) 544-0032

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
27132TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Orthodontics and Children'S Dentistry Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Fusion Orthodontics at Garland Orthodontics and Dentofacial Orthopedics CurrentSince Jan 12, 2025 Accepting new patients
Garland Main Dental Group PA Current Accepting new patients

Locations

19200 Preston Rd
Ste 100
Dallas, TX 75252
Phone (972) 666-4949

107 S 1st St
#A
Garland, TX 75040
Phone (972) 276-0159

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1275791014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522450",
            "telephone_number": "972-666-4949",
            "fax_number": "972-666-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522450",
            "telephone_number": "972-666-5363",
            "fax_number": "972-666-4944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750407219",
            "country_code": "US",
            "telephone_number": "972-544-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "HESSAM",
        "name_prefix": "Dr.",
        "credential": "DDS, DMSC, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "27132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.