Individual provider Active NPI

Kasra Hedayat

  • General Practice Dentistry
  • Allen, TX
National Provider Identifier
1326609223
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35284 Issued in TX
Practice address
333 N Allen Dr
Allen, TX 75013-2539
Phone
(972) 727-8217
NPI assigned
Jun 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 35284 TX Primary

Addresses

Primary practice location

333 N Allen Dr
Allen, TX 75013-2539

Mailing address

811 S Central Expy Ste 101
Richardson, TX 75080-7423
Phone (972) 235-0300

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
35284TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kasra Hedayat DDS PLLC General Practice Current Accepting new patients
North Central Dental Services PLLC General Practice PastSince May 16, 2021 Accepting new patients
Brident Dental Associates PC PastSince Jan 5, 2020 Accepting new patients
South Texas Dental Associates, L.P. PastSince Jan 5, 2020 Accepting new patients

Locations

333 N Allen Dr
Allen, TX 75013
Phone (972) 727-1901

Organizations & group practices 4

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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1326609223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S CENTRAL EXPY STE 101",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807423",
            "telephone_number": "972-235-0300",
            "fax_number": "972-235-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N ALLEN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132539",
            "telephone_number": "972-727-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYAT",
        "first_name": "KASRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.