Active NPI
Kia Zeram
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1497139927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31045
- Practice address
- 14891 Preston Rd
Suite 200
Dallas, TX 75254-7817 - Phone
- (972) 661-2766
- NPI assigned
- Jul 14, 2015
- Last updated
- Jul 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 31045 | TX | Primary |
Addresses
Primary practice location
14891 Preston Rd
Suite 200
Dallas, TX 75254-7817
Mailing address
14891 Preston Rd Ste 200
Dallas, TX 75254-7870
Phone (972) 661-2766
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 |
|---|---|---|---|---|
| I20151005001812 | TX | Order and Referring Only - Dentist | 1153639539 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31045 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yarbrough RSVZ PLLC | General Practice | Current | Accepting new patients |
| Zaragoza RSVZ PLLC | General Practice | Current | Accepting new patients |
| Scuba HTX, PLLC | General Practice | Current | Accepting new patients |
| Preston Modern Dentistry, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Preston Modern Dentistry
- General Practice Dentistry
- Dallas, TX
- NPI 1700100617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1497139927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14891 PRESTON RD STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752547870",
"telephone_number": "972-661-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14891 PRESTON RD",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752547817",
"telephone_number": "972-661-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERAM",
"first_name": "KIA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.