Active NPI
Elham Ellie Ighani, DDS
- General Practice Dentistry
- Grand Prairie, TX
National Provider Identifier
1598925323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23875
- Practice address
- 817 W Pioneer Pkwy
Suite 150
Grand Prairie, TX 75051 - Phone
- (972) 602-2000
- Fax
- (972) 602-2062
- NPI assigned
- Jun 16, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23875 | TX | Primary |
Addresses
Primary practice location
817 W Pioneer Pkwy
Suite 150
Grand Prairie, TX 75051
Mailing address
817 W Pioneer Pkwy
Perla Dental GP Suite 150
Grand Prairie, TX 75051
Phone (972) 602-2000
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 |
|---|---|---|---|
| 23875 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1598925323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 W PIONEER PKWY",
"address_2": "PERLA DENTAL GP SUITE 150",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75051",
"telephone_number": "972-602-2000",
"fax_number": "972-602-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 W PIONEER PKWY",
"address_2": "SUITE 150",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75051",
"telephone_number": "972-602-2000",
"fax_number": "972-602-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGHANI",
"first_name": "ELHAM",
"middle_name": "ELLIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.