Individual provider Active NPI

Abedin Dadehbeigi, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1356725014
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31056 Issued in TX
Practice address
5440 El Dorado Blvd Ste 1600
Houston, TX 77059-5021
Phone
(281) 943-9227
Fax
(281) 990-1002
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 31056 TX Primary

Addresses

Primary practice location

5440 El Dorado Blvd Ste 1600
Houston, TX 77059-5021

Mailing address

5440 El Dorado Blvd Ste 1600
Houston, TX 77059-5021
Phone (281) 943-9227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403000962 TX Order and Referring Only - DentistPractitioner - Dentist 9638454705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Modern Dental CurrentSince Feb 24, 2022 Accepting new patients

Locations

5440 El Dorado Blvd
Ste 1600
Houston, TX 77059
Phone (281) 943-9227

Organizations & group practices 1

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1356725014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 EL DORADO BLVD STE 1600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595021",
            "telephone_number": "281-943-9227",
            "fax_number": "281-990-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 EL DORADO BLVD STE 1600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595021",
            "telephone_number": "281-943-9227",
            "fax_number": "281-990-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADEHBEIGI",
        "first_name": "ABEDIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.