Organization Active NPI

Sunset Oaks Dental P.a.

  • Dentist
  • Dallas, TX
National Provider Identifier
1417007543
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20099 Issued in TX
Legal business name
SUNSET OAKS DENTAL P.A.
Practice address
17194 Preston Rd Ste 212
Dallas, TX 75248-1225
Phone
(972) 248-6684
Fax
(972) 250-0120
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bita Koushyar Kamali, D.D.S.
Title
Dentist
Phone
(972) 248-6684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20099 TX Primary

Addresses

Primary practice location

17194 Preston Rd Ste 212
Dallas, TX 75248-1225

Mailing address

17194 Preston Rd Ste 212
Dallas, TX 75248-1225
Phone (972) 248-6684

National Provider Directory

National Provider Directory

Locations

17194 Preston Rd
Ste 212
Dallas, TX 75248
Phone (972) 248-6684

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417007543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17194 PRESTON RD STE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481225",
            "telephone_number": "972-248-6684",
            "fax_number": "972-250-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17194 PRESTON RD STE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481225",
            "telephone_number": "972-248-6684",
            "fax_number": "972-250-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET OAKS DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMALI",
        "authorized_official_first_name": "BITA",
        "authorized_official_middle_name": "KOUSHYAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-248-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.