Organization Active NPI

Kaj, PLLC

Doing business as Astro Dental

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1568910479
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28391 Issued in TX
Legal business name
KAJ, PLLC
Doing business as
Astro Dental
Practice address
1515 S Buckner Blvd
Suite # 141
Dallas, TX 75217-1760
Phone
(972) 786-1734
NPI assigned
Sep 20, 2016
Last updated
Sep 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Dr. Sina Arhamsadr, DDS
Title
Owner
Phone
(714) 357-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28391 TX Primary

Addresses

Primary practice location

1515 S Buckner Blvd
Suite # 141
Dallas, TX 75217-1760

Mailing address

3110 Thomas Ave
Apartment # 339
Dallas, TX 75204-2729

Other names 1

  • Astro Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1568910479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 THOMAS AVE",
            "address_2": "APARTMENT # 339",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BUCKNER BLVD",
            "address_2": "SUITE # 141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171760",
            "telephone_number": "972-786-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAJ, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "ARHAMSADR",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-357-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astro Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.