Active NPI
Shima Mohseni Behbahani, DMD
- Dentist
- Round Rock, TX
National Provider Identifier
1538518535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6844
- Practice address
- 115 Sundance Pkwy Ste 100
Round Rock, TX 78681-7917 - Phone
- (512) 733-6832
- Fax
- (512) 733-6832
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6844 | OK | Primary |
Addresses
Primary practice location
115 Sundance Pkwy Ste 100
Round Rock, TX 78681-7917
Mailing address
8601 S Mingo Rd Apt 3307
Tulsa, OK 74133-4597
Other practice location 1
1950 W Kenosha St
Broken Arrow, OK 74012-8944
Phone (918) 518-1526
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1538518535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 S MINGO RD APT 3307",
"city": "TULSA",
"state": "OK",
"postal_code": "741334597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SUNDANCE PKWY STE 100",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786817917",
"telephone_number": "512-733-6832",
"fax_number": "512-733-6832"
}
],
"practiceLocations": [
{
"address_1": "1950 W Kenosha St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740128944",
"country_code": "US",
"telephone_number": "918-518-1526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHSENI BEHBAHANI",
"first_name": "SHIMA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.