Bahar Iranmehr, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36607 Issued in TX

Practice address

17390 Preston Rd Ste 242
Dallas, TX 75252-5781

Phone

(972) 447-9707

Fax

(972) 447-9779

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 4, 2022 through Aug 4, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1619589629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17390 PRESTON RD STE 242",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525781",
            "telephone_number": "972-447-9707",
            "fax_number": "972-447-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17390 PRESTON RD STE 242",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525781",
            "telephone_number": "972-447-9707",
            "fax_number": "972-447-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANMEHR",
        "first_name": "BAHAR",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@prestonfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mailing Address",
            "address_1": "17390 Preston Rd Ste 242",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752525781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zohaib Iqbal
• Leonardo Iquizli
• Rogerio Iquizli
• Ayomide Irabor-Musa
• Samuel Olatundun Iranloye
• Mehrnaz Iranmehr, D.D.S.
• Heidi Katherine Iratcabal
• Ashlynn Ireland, PNP-AC
• Stephanie Ann Ireland, LPC
• Fariha Irfan

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.