Organization Active NPI

Medxas2

  • Dentist
  • Missouri City, TX
National Provider Identifier
1427745645
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MEDXAS2
Practice address
4220 Cartwright Rd Ste 102
Missouri City, TX 77459-5307
Phone
(818) 857-6020
Fax
(713) 929-4340
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Dr. Bahman Hakim, DDSNPI 1528315215
Title
President
Phone
(818) 857-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4220 Cartwright Rd Ste 102
Missouri City, TX 77459-5307

Mailing address

4220 Cartwright Rd Ste 102
Missouri City, TX 77459-5307
Phone (818) 857-6020

National Provider Directory

National Provider Directory

Locations

4220 Cartwright Rd
Ste 102
Missouri City, TX 77459
Phone (818) 857-6020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1427745645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595307",
            "telephone_number": "818-857-6020",
            "fax_number": "713-929-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595307",
            "telephone_number": "818-857-6020",
            "fax_number": "713-929-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDXAS2",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "BAHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-857-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.