Individual provider Active NPI

Sherin Zarghouni

  • Dentist
  • Brookshire, TX
National Provider Identifier
1588100374
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32624 Issued in TX
Practice address
3603 Front St Ste 107
Brookshire, TX 77423-9846
Phone
(819) 341-0102
NPI assigned
Jan 17, 2017
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32624 TX Primary

Addresses

Primary practice location

3603 Front St Ste 107
Brookshire, TX 77423-9846

Mailing address

3603 Front St Ste 107
Brookshire, TX 77423-9846
Phone (281) 934-1010

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
32624TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brookshire Smile, PA Dentist PastSince Sep 6, 2020 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, 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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1588100374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 FRONT ST STE 107",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774239846",
            "telephone_number": "281-934-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 FRONT ST STE 107",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774239846",
            "telephone_number": "819-341-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARGHOUNI",
        "first_name": "SHERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookshire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.