Organization Active NPI

Blookshire PLLC

Doing business as Brookshire Dental

  • General Practice Dentistry
  • Hurst, TX
National Provider Identifier
1306465422
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLOOKSHIRE PLLC
Doing business as
Brookshire Dental
Practice address
1801 Precinct Line Rd Ste a
Hurst, TX 76054-3171
Phone
(817) 577-9200
Fax
(817) 281-9231
NPI assigned
Apr 9, 2020
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Salomeh Tehrani, DDS
Title
Doctor/Owner
Phone
(817) 577-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1801 Precinct Line Rd Ste a
Hurst, TX 76054-3171

Mailing address

1801 Precinct Line Rd Ste a
Hurst, TX 76054-3171
Phone (817) 577-9200

Other names 1

  • Brookshire Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1306465422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PRECINCT LINE RD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543171",
            "telephone_number": "817-577-9200",
            "fax_number": "817-281-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PRECINCT LINE RD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543171",
            "telephone_number": "817-577-9200",
            "fax_number": "817-281-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOKSHIRE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "SALOMEH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "817-577-9200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookshire Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.