Organization Active NPI

Advanced Dental Care

  • General Practice Dentistry
  • Allen, TX
National Provider Identifier
1467987404
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28594 Issued in TX
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

Updated by the provider on Jun 20, 2018

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.