Individual provider Active NPI

Hooman Lohrasbi, D.D.S

  • Dentist
  • Garland, TX
National Provider Identifier
1609015718
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25636 Issued in TX
Practice address
2380 Firewheel Pkwy
Ste 900
Garland, TX 75040-4165
Phone
(972) 495-5000
Fax
(972) 495-5002
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8928 TN
Dentist 122300000X 25636 TX Primary

Addresses

Primary practice location

2380 Firewheel Pkwy
Ste 900
Garland, TX 75040-4165

Mailing address

2380 Firewheel Pkwy
Ste 900
Garland, TX 75040-4165
Phone (972) 495-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323000670 TX Order and Referring Only - DentistPractitioner - Dentist 7911204771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8928TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Opulent Dentistry, Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1609015718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 FIREWHEEL PKWY",
            "address_2": "STE 900",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404165",
            "telephone_number": "972-495-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 FIREWHEEL PKWY",
            "address_2": "STE 900",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404165",
            "telephone_number": "972-495-5000",
            "fax_number": "972-495-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHRASBI",
        "first_name": "HOOMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8928",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.