Organization Active NPI

Amirali Tahbaz DDS LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austin, TX
National Provider Identifier
1457769325
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
28708 Issued in TX
Legal business name
AMIRALI TAHBAZ DDS LLC
Practice address
1700 W Parmer LN
Suite 250
Austin, TX 78727-4604
Phone
(512) 387-0097
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Amirali Tahbaz, DDSNPI 1215247911
Title
Member
Phone
(702) 526-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 28708 TX Primary

Addresses

Primary practice location

1700 W Parmer LN
Suite 250
Austin, TX 78727-4604

Mailing address

1300 E Riverside Dr
Apt C204
Austin, TX 78741-1108

Other names 1

  • Luv Braces Doing business as

National Provider Directory

National Provider Directory

Locations

1700 W Parmer Ln
Ste 250
Austin, TX 78727
Phone (512) 387-0097

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": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1457769325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E RIVERSIDE DR",
            "address_2": "APT C204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W PARMER LN",
            "address_2": "SUITE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274604",
            "telephone_number": "512-387-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIRALI TAHBAZ DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "TAHBAZ",
        "authorized_official_first_name": "AMIRALI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-526-6711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "28708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luv Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.