Individual provider Active NPI

Samaneh Maryam Daftarian, DDS

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1407928716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20520 Issued in TX
Practice address
10750 Barker Cypress Rd
Suite #111
Cypress, TX 77433
Phone
(281) 213-8666
Fax
(281) 256-2819
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20520 TX Primary

Addresses

Primary practice location

10750 Barker Cypress Rd
Suite #111
Cypress, TX 77433

Mailing address

10750 Barker Cypress Rd
Suite #111
Cypress, TX 77433
Phone (281) 213-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20520TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuvis Dental PLLC General Practice PastSince Dec 6, 2020 Accepting new patients
Lifetime Dental, PA General Practice Past Accepting new patients

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407928716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 BARKER CYPRESS RD",
            "address_2": "SUITE #111",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "281-213-8666",
            "fax_number": "281-256-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 BARKER CYPRESS RD",
            "address_2": "SUITE #111",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "281-213-8666",
            "fax_number": "281-256-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFTARIAN",
        "first_name": "SAMANEH",
        "middle_name": "MARYAM",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.