Active NPI
Nilufar Gorek-Yaraghi
- General Practice Dentistry
- Dickinson, TX
National Provider Identifier
1417710609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40203
- Practice address
- 1620 FM 646 Rd W Ste D
Dickinson, TX 77539-4580 - Phone
- (281) 332-0980
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40203 | TX | Primary |
Addresses
Primary practice location
1620 FM 646 Rd W Ste D
Dickinson, TX 77539-4580
Mailing address
6184 Newcastle LN
League City, TX 77573-2582
Phone (832) 630-8665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503000589 | TX | Order and Referring Only - Dentist | 7315387685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40203 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1417710609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6184 NEWCASTLE LN",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732582",
"telephone_number": "832-630-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 FM 646 RD W STE D",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775394580",
"telephone_number": "281-332-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOREK-YARAGHI",
"first_name": "NILUFAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "40203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, TX
- Globke Family Chiropractic (Dickinson Family Chiropractic)
- Leland R Globke, D.C.
- Richard Clayton Golightly, PA-C
- Yoddy Bryan Gomez, SA-C
- Good Health Pediatrics & Wellness Clinic, LLC
- Gulf Coast Wellness & Rehabilitation
- Debra Hagler
- Hands With Heart Home Healthcare
- Prashant Kumar Harjai, RN, FNP
- Kenia Estefania Haywood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.