Organization Active NPI

Sean Bastani D.D.S P.a

Doing business as Bastani Dental Group

  • Dentist
  • Houston, TX
National Provider Identifier
1447675863
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SEAN BASTANI D.D.S P.A
Doing business as
Bastani Dental Group
Practice address
1125 Cypress Station Dr Ste a-1
Houston, TX 77090-3055
Phone
(281) 866-0049
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Dr. Sean Bastani, D.D.S
Title
General Dentist/Owner
Phone
(281) 866-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X TX Primary

Addresses

Primary practice location

1125 Cypress Station Dr Ste a-1
Houston, TX 77090-3055

Mailing address

1125 Cypress Station Dr Ste a-1
Houston, TX 77090-3055
Phone (281) 866-0049

Other identifiers 1

IdentifierTypeStateIssuer
215952710MedicaidTX

Other names 1

  • Bastani Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1125 Cypress Station Dr
Ste A-1
Houston, TX 77090
Phone (281) 866-0049

Practitioners & affiliated clinicians

Practitioners 1

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": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1447675863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "281-866-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903055",
            "telephone_number": "281-866-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN BASTANI D.D.S P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "BASTANI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "281-866-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215952710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bastani Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.