Active NPI
Shokooh Sadat Aletaha, D.D.S.
- General Practice Dentistry
- Farmers Branch, TX
National Provider Identifier
1336316637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17918
- Practice address
- 14228 Midway Rd Ste 100
Farmers Branch, TX 75244-3702 - Phone
- (972) 852-2222
- Fax
- (972) 852-1111
- NPI assigned
- May 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17918 | TX | Primary |
Addresses
Primary practice location
14228 Midway Rd Ste 100
Farmers Branch, TX 75244-3702
Mailing address
14228 Midway Rd Ste 100
Farmers Branch, TX 75244-3702
Phone (214) 232-4482
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17918 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1336316637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14228 MIDWAY RD STE 100",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752443702",
"telephone_number": "214-232-4482",
"fax_number": "972-852-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14228 MIDWAY RD STE 100",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752443702",
"telephone_number": "972-852-2222",
"fax_number": "972-852-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALETAHA",
"first_name": "SHOKOOH",
"middle_name": "SADAT",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.