Active NPI
Sameera Mirza
- General Practice Dentistry
- Sherman, TX
National Provider Identifier
1447689708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30405
- Practice address
- 420 N Rusk St
Sherman, TX 75090-5858 - Phone
- (903) 892-1052
- NPI assigned
- Nov 7, 2013
- Last updated
- Jan 8, 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 | 30405 | TX | Primary |
Addresses
Primary practice location
420 N Rusk St
Sherman, TX 75090-5858
Mailing address
420 N Rusk St
Sherman, TX 75090-5858
Phone (903) 892-1052
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 |
|---|---|---|---|---|
| I20160405000149 | TX | Order and Referring Only - Oral Surgery | 2365749405 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30405 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R Carroll Jr DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Sherman, TX
- NPI 1578526398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1447689708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N RUSK ST",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750905858",
"telephone_number": "903-892-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N RUSK ST",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750905858",
"telephone_number": "903-892-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZA",
"first_name": "SAMEERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
- Paul Robert Millmann, MD
- Minimally Invasive Neurosurgery Associates, PLLC
- Minimally Invasive Neurosurgery PLLC
- Minimally Invasive Neurosurgery PLLC
- Isabel Esperansa Mireles
- Philomena Hamilton Mistretta, FNP
- Antoinette Mitchell, LPC
- Lacie Dyanne Mitchell, PA
- Mobile Wound Care LLC (On-Site Wounds)
- Nicole Moffitt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.