Fatemeh Ebrahimi DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19864 Issued in TX

Legal business name

FATEMEH EBRAHIMI DDS PLLC

Practice address

6430 Richmond Ave Ste 110
Houston, TX 77057-5908

Phone

(713) 779-2273

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Fadi Tatari, DDS

Title

Clinical Director

Phone

(832) 444-9055

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fatemeh Ebrahimi DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fatemeh Ebrahimi DDS PLLC

  • Dentist
  • Houston, TX
  • NPI 1134455066
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatemeh Ebrahimi, DDS

  • Dentist
  • Houston, TX
  • NPI 1891908810
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1508260894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741903",
            "telephone_number": "713-779-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575908",
            "telephone_number": "713-779-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATEMEH EBRAHIMI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "TATARI",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-444-9055",
        "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": "19864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007804006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fasttrack Healing Inc
• Frank Joseph Fasullo Jr., MD
• Mariya Mustafa Fatakdawala, MD
• Aziza Fatany
• Fatemeh Ebrahimi DDS PLLC
• Roxana Fatemizadeh
• Mouhammad Fathallah, MD
• Mustafa Fatih
• Fatima E Jaffer MD PA
• Fatima Sayeed MD PA

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.