Organization Active NPI

Grand Dental PLLC

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1336957679
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRAND DENTAL PLLC
Practice address
23033 Grand Circle Blvd Ste 110
Katy, TX 77449-2460
Phone
(281) 209-5050
Fax
(832) 844-6699
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Arezo Zarghouni, DDSNPI 1285704767
Title
Dentist
Phone
(281) 209-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

23033 Grand Circle Blvd Ste 110
Katy, TX 77449-2460

Mailing address

23033 Grand Circle Blvd Ste 110
Katy, TX 77449-2460
Phone (281) 209-5050

Other names 1

  • Grand Dental PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

23033 Grand Circle Blvd
Ste 110
Katy, TX 77449
Phone (281) 209-5050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1336957679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23033 GRAND CIRCLE BLVD STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492460",
            "telephone_number": "281-209-5050",
            "fax_number": "832-844-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23033 GRAND CIRCLE BLVD STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492460",
            "telephone_number": "281-209-5050",
            "fax_number": "832-844-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "ZARGHOUNI",
        "authorized_official_first_name": "AREZO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-209-5050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.