Individual provider Active NPI

Arezo Zarghouni, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1285704767
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20963 Issued in TX
Practice address
14119 Stuebner Airline Rd
Prestigious Smiles LLC
Houston, TX 77069-3525
Phone
(281) 880-6666
Fax
(832) 446-3472
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20963 TX Primary

Addresses

Primary practice location

14119 Stuebner Airline Rd
Prestigious Smiles LLC
Houston, TX 77069-3525

Mailing address

14119 Stuebner Airline Rd
Prestigious Smiles LLC
Houston, TX 77069-3525
Phone (281) 880-6666

Other identifiers 1

IdentifierTypeStateIssuer
197094909OtherTXTPI

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
I20170217001885 TX Order and Referring Only - DentistPractitioner - Dentist 2163705062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Dental PLLC Current Accepting new patients
Prestigious Smiles LLC Past Accepting new patients

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1285704767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 STUEBNER AIRLINE RD",
            "address_2": "PRESTIGIOUS SMILES LLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693525",
            "telephone_number": "281-880-6666",
            "fax_number": "832-446-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 STUEBNER AIRLINE RD",
            "address_2": "PRESTIGIOUS SMILES LLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693525",
            "telephone_number": "281-880-6666",
            "fax_number": "832-446-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARGHOUNI",
        "first_name": "AREZO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "197094909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.