Nader Nathan Nagavi, D.D.S, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

22541 Issued in TX

Legal business name

NADER NATHAN NAGAVI, D.D.S, P.A.

Doing business as

advance dental

Practice address

8 Medical Pkwy
Suite 308
Farmers Branch, TX 75234-7859

Phone

(972) 241-1934

Fax

(972) 481-1906

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Nader Nathan Nagavi, D.D.S.

Title

President/Dentist

Phone

(972) 241-1934

Specialties & licenses 1

Addresses

Other names 1

• advance dental Doing business as

Locations

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1396092557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY",
            "address_2": "SUITE 308",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347859",
            "telephone_number": "972-241-1934",
            "fax_number": "972-481-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY",
            "address_2": "SUITE 308",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347859",
            "telephone_number": "972-241-1934",
            "fax_number": "972-481-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER NATHAN NAGAVI, D.D.S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "NAGAVI",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "972-241-1934",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advance dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.