Individual provider Active NPI

Fazalur Rehman, DMD

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1508345554
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34474 Issued in TX
Practice address
17814 Spring Cypress Rd Ste 101
Cypress, TX 77429-6290
Phone
(281) 304-1319
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34474 TX Primary

Addresses

Primary practice location

17814 Spring Cypress Rd Ste 101
Cypress, TX 77429-6290

Mailing address

11426 Jonstone Paisley CT
Richmond, TX 77407-2178
Phone (832) 276-5698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34474TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Dental Group and Orthodontics, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1508345554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11426 JONSTONE PAISLEY CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072178",
            "telephone_number": "832-276-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17814 SPRING CYPRESS RD STE 101",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296290",
            "telephone_number": "281-304-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "FAZALUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.