Individual provider Active NPI

Elborz Majid Safarzadeh, DMD

  • General Practice Dentistry
  • Rosenberg, TX
National Provider Identifier
1285307553
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37689 Issued in TX
Practice address
6726 Reading Rd Ste 180
Rosenberg, TX 77471-2971
Phone
(346) 515-3418
Fax
(832) 363-3017
NPI assigned
Jul 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37689 TX Primary

Addresses

Primary practice location

6726 Reading Rd Ste 180
Rosenberg, TX 77471-2971

Mailing address

6726 Reading Rd Ste 180
Rosenberg, TX 77471-2971
Phone (346) 515-3418

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

State licenses

LicenseStateTypeSpecialty
37689TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1285307553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 READING RD STE 180",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712971",
            "telephone_number": "346-515-3418",
            "fax_number": "832-363-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 READING RD STE 180",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712971",
            "telephone_number": "346-515-3418",
            "fax_number": "832-363-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFARZADEH",
        "first_name": "ELBORZ",
        "middle_name": "MAJID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-31",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.