Individual provider Active NPI

Artem Nureyev

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1285034918
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30406 Issued in TX
Practice address
2947 S Buckner Blvd Ste 100
Dallas, TX 75227-6953
Phone
(214) 420-7008
NPI assigned
Aug 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30406 TX Primary

Addresses

Primary practice location

2947 S Buckner Blvd Ste 100
Dallas, TX 75227-6953

Mailing address

4106 Newton Ave Apt 116
Dallas, TX 75219-3074
Phone (267) 210-5327

Other practice location 1

5605 Richmond Ave
Dallas, TX 75206-7113
Phone (214) 824-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 18, 2016 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30406TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Summit Dental PLLC General Practice CurrentSince May 25, 2025 Accepting new patients
Pecan Plaza Dental, P.a. General Practice Past Accepting new patients

Locations

5605 Richmond Ave
Dallas, TX 75206
Phone (214) 824-2501

Organizations & group practices 2

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1285034918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 NEWTON AVE APT 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193074",
            "telephone_number": "267-210-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 S BUCKNER BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276953",
            "telephone_number": "214-420-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5605 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752067113",
            "country_code": "US",
            "telephone_number": "214-824-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUREYEV",
        "first_name": "ARTEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-06-22",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.