Active NPI
Ahmad Ahmadian, DDS
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1548495484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16469
- Practice address
- 11814 Jollyville Rd
A
Austin, TX 78759-2312 - Phone
- (512) 257-1945
- Fax
- (512) 257-8870
- NPI assigned
- May 21, 2009
- 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 | 16469 | TX | Primary |
Addresses
Primary practice location
11814 Jollyville Rd
A
Austin, TX 78759-2312
Mailing address
11814 Jollyville Rd
A
Austin, TX 78759-2312
Phone (512) 257-1945
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16469 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1548495484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11814 JOLLYVILLE RD",
"address_2": "A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592312",
"telephone_number": "512-257-1945",
"fax_number": "512-257-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11814 JOLLYVILLE RD",
"address_2": "A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592312",
"telephone_number": "512-257-1945",
"fax_number": "512-257-8870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMADIAN",
"first_name": "AHMAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "16469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.