Active NPI
Advanced Dental Care
- General Practice Dentistry
- Allen, TX
National Provider Identifier
1467987404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28594
- Legal business name
- ADVANCED DENTAL CARE
- Practice address
- 950 W Stacy Rd
150
Allen, TX 75013-9998 - Phone
- (626) 689-0395
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keyvan Karimzaehnajjar, DDS
- Title
- Owner
- Phone
- (626) 689-0395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28594 | TX | Primary |
Addresses
Primary practice location
950 W Stacy Rd
150
Allen, TX 75013-9998
Mailing address
950 W Stacy Rd
150
Allen, TX 75013-9998
Phone (626) 689-0395
National Provider Directory
National Provider DirectoryLocations
950 W Stacy Rd
Ste 150
Allen, TX 75013
Phone (214) 260-9911
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Plano, TX
- NPI 1992526495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1467987404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W STACY RD",
"address_2": "150",
"city": "ALLEN",
"state": "TX",
"postal_code": "750139998",
"telephone_number": "626-689-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W STACY RD",
"address_2": "150",
"city": "ALLEN",
"state": "TX",
"postal_code": "750139998",
"telephone_number": "626-689-0395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-27",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "KARIMZAEHNAJJAR",
"authorized_official_first_name": "KEYVAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-689-0395",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.