Organization Active NPI

Mahin Ahmadi DDS

Doing business as Baytown Family Dentistry

  • General Practice Dentistry
  • Baytown, TX
National Provider Identifier
1396024287
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19145 Issued in TX
Legal business name
MAHIN AHMADI DDS
Doing business as
Baytown Family Dentistry
Practice address
1105 E James St
Baytown, TX 77520-5821
Phone
(281) 422-8268
Fax
(281) 837-6100
NPI assigned
Aug 9, 2011
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Mahin Ahmadi, D.D.S.NPI 1851441364
Title
Owner
Phone
(281) 422-8268

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25536 TX
General Practice Dentistry 1223G0001X 25109 TX
General Practice Dentistry 1223G0001X 19145 TX Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25257 TX

Addresses

Primary practice location

1105 E James St
Baytown, TX 77520-5821

Mailing address

1105 E James St
Baytown, TX 77520-5821
Phone (281) 422-8268

Other identifiers 1

IdentifierTypeStateIssuer
160865501MedicaidTX

Other names 1

  • Baytown Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1105 E James St
Baytown, TX 77520
Phone (281) 422-8268

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1396024287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E JAMES ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775205821",
            "telephone_number": "281-422-8268",
            "fax_number": "281-837-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E JAMES ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775205821",
            "telephone_number": "281-422-8268",
            "fax_number": "281-837-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHIN AHMADI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "MAHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-422-8268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25536",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25109",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19145",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160865501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baytown Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.