NPIMap

Organization Active NPI

Island Dental

  • General Practice Dentistry
  • Galveston, TX
National Provider Identifier
1437381407
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23424 Issued in TX
Legal business name
ISLAND DENTAL
Practice address
6821 Stewart Rd
Galveston, TX 77551-1841
Phone
(409) 741-0202
Fax
(409) 741-0201
NPI assigned
Aug 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Dr. Shahla Zakerzadeh, DDS
Title
Dentist
Phone
(409) 741-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23424 TX Primary

Addresses

Primary practice location

6821 Stewart Rd
Galveston, TX 77551-1841

Mailing address

6821 Stewart Rd
Galveston, TX 77551-1841
Phone (409) 741-0202

National Provider Directory

National Provider Directory
Tax ID family
Isaland Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6821 Stewart Rd
Galveston, TX 77551
Phone (409) 741-0202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1437381407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 STEWART RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511841",
            "telephone_number": "409-741-0202",
            "fax_number": "409-741-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 STEWART RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511841",
            "telephone_number": "409-741-0202",
            "fax_number": "409-741-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "ZAKERZADEH",
        "authorized_official_first_name": "SHAHLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "409-741-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.