NPIMap

Organization Active NPI

US Army

  • Point of Service
  • Lackland AFB, TX
National Provider Identifier
1407205065
Registry record updated Jun 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
9175 Issued in KY
Legal business name
US ARMY
Practice address
1320 Truemper St Unit 369401
Jbsa Lackland AFB
Lackland AFB, TX 78236-6094
Phone
(502) 409-2981
NPI assigned
Jun 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2016

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

Authorized official

Name
Dr. Farzan L Pouranfar, DMD
Title
General Dentist
Phone
(502) 409-2981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 9175 KY Primary

Addresses

Primary practice location

1320 Truemper St Unit 369401
Jbsa Lackland AFB
Lackland AFB, TX 78236-6094

Mailing address

1320 Truemper St Unit 369401
Jbsa Lackland AFB
Lackland AFB, TX 78236-6094
Phone (502) 409-2981

National Provider Directory

National Provider Directory
Tax ID family
US Army42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465084800000",
    "number": "1407205065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 TRUEMPER ST UNIT 369401",
            "address_2": "JBSA LACKLAND AFB",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782366094",
            "telephone_number": "502-409-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 TRUEMPER ST UNIT 369401",
            "address_2": "JBSA LACKLAND AFB",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782366094",
            "telephone_number": "502-409-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-05",
        "last_updated": "2016-06-05",
        "status": "A",
        "authorized_official_last_name": "POURANFAR",
        "authorized_official_first_name": "FARZAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "502-409-2981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "KY",
            "license": "9175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland AFB, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2016; 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.