Individual provider Active NPI

Aliakbar Setarehaseman, D.D.S.

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1275971152
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
28220 Issued in TX
Practice address
6704 Hillcroft Ave.
Houston, TX 77081
Phone
(713) 995-1700
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28220 TX
Pediatric Dentistry 1223P0221X 28220 TX Primary

Addresses

Primary practice location

6704 Hillcroft Ave.
Houston, TX 77081

Mailing address

6704 Hillcroft Ave.
Houston, TX 77081
Phone (713) 995-1700

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
I20160712001820 TX Practitioner - Oral Surgery 5597057562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28220TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
NBNL Dental PLLC PastSince Sep 13, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1275971152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 HILLCROFT AVE.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77081",
            "telephone_number": "713-995-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 HILLCROFT AVE.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77081",
            "telephone_number": "713-995-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETAREHASEMAN",
        "first_name": "ALIAKBAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28220",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.