Sameera Mirza

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30405 Issued in TX

Practice address

420 N Rusk St
Sherman, TX 75090-5858

Phone

(903) 892-1052

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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

• James R Carroll Jr DDS Inc

  • Dental Clinic/Center
  • Sherman, TX
  • NPI 1578526398
  NPD (past)

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2024.

{
    "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": []
}

• 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
• Nicole Moffitt

• All providers in Sherman, TX
• General Practice Dentistry in Texas

• 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.

Verify at the official NPI Registry.