Mona Rezapour, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

29618 Issued in TX

Practice address

1700 W Parmer LN Ste 250
Austin, TX 78727-4609

Phone

(702) 232-6551

NPI assigned

Mar 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mona Lisa Smiles PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bee Cave, TX
  • NPI 1447758701
  NPD (past) Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1275857674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MANCHACA RD APT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046082",
            "telephone_number": "702-232-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W PARMER LN STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274609",
            "telephone_number": "702-232-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAPOUR",
        "first_name": "MONA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "29618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rebecca Reynolds, RN
• Tara Reynolds
• Lesly Abigail Reza Olguin
• Knema Pascal Rezaei-Bazazizad, M.D.
• Aileen Masomian Rezaei, LPC
• Heidi Rezendes
• Jane Rha
• Allison Rhea
• Sarah Rhea
• Cynthia Rho, DMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.