Amandeep Basrai PA

Primary specialty

DentistTaxonomy code 122300000X

License

25103 Issued in TX

Legal business name

AMANDEEP BASRAI PA

Practice address

1011 N Highway 77
Ste. 104
Waxahachie, TX 75165-1399

Phone

(817) 426-9337

Fax

(817) 426-9336

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Amandeep Basrai

Title

Owner/Denitist

Phone

(817) 426-9337

Specialties & licenses 1

Addresses

Other names 1

• Family Smiles Doing business as

Locations

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1336463934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EXCHANGE ST",
            "address_2": "STE. D",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N HIGHWAY 77",
            "address_2": "STE. 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651399",
            "telephone_number": "817-426-9337",
            "fax_number": "817-426-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDEEP BASRAI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "BASRAI",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "OWNER/DENITIST",
        "authorized_official_telephone_number": "817-426-9337"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.