Individual provider Active NPI

Alireza Hourfar, D.D.S. M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
National Provider Identifier
1518340330
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
31055 Issued in TX
Practice address
3636 Greenbriar Dr Ste 101a
Houston, TX 77098-2244
Phone
(310) 616-6888
NPI assigned
Jun 30, 2015
Last updated
Dec 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 31055 TX Primary

Addresses

Primary practice location

3636 Greenbriar Dr Ste 101a
Houston, TX 77098-2244

Mailing address

3636 Greenbriar Dr Ste 101a
Houston, TX 77098-2244
Phone (310) 616-6888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001907 TX Order and Referring Only - DentistPractitioner - Dentist 1153609359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31055TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mia Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Jan 7, 2024 Accepting new patients

Locations

3636 Greenbriar Dr
Ste 101A
Houston, TX 77098
Phone (310) 616-6888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1518340330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 GREENBRIAR DR STE 101A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770982244",
            "telephone_number": "310-616-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 GREENBRIAR DR STE 101A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770982244",
            "telephone_number": "310-616-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURFAR",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "31055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.