Individual provider Active NPI

Mehrad Sadeghpour

  • Dentist
  • Sherman, TX
National Provider Identifier
1437637618
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34325 Issued in TX
Practice address
3515 N Loy Lake Rd
Sherman, TX 75090-2506
Phone
(903) 487-7777
NPI assigned
Jul 31, 2018
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34325 TX Primary

Addresses

Primary practice location

3515 N Loy Lake Rd
Sherman, TX 75090-2506

Mailing address

1062 Fullerton Dr
Allen, TX 75013-6455
Phone (469) 734-9380

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029001637 TX Practitioner - Oral SurgeryPractitioner - Dentist 0244628956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Again Dental PLLC Dentist CurrentSince Sep 1, 2020 Accepting new patients
Affordable Dentures & Implants - Texas, PLLC Dentist Past Accepting new patients
Kirby Joe Robinson of Texas, DDS, P.C. Dentist Past Accepting new patients

Locations

3515 N Loy Lake Rd
Sherman, TX 75090
Phone (903) 487-7777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1437637618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FULLERTON DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136455",
            "telephone_number": "469-734-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 N LOY LAKE RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902506",
            "telephone_number": "903-487-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHPOUR",
        "first_name": "MEHRAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.