Sofistica Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27367 Issued in TX

Legal business name

SOFISTICA DENTAL PLLC

Practice address

1309 E Nolana Ave
Suite C
McAllen, TX 78504-6189

Phone

(956) 800-1860

NPI assigned

Jan 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Niknam Bagheri, D.D.S

Title

General Dentist

Phone

(530) 848-0283

Specialties & licenses 1

Addresses

Other names 1

• Lifetime Dental Center Doing business as

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1629435763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 E NOLANA AVE",
            "address_2": "SUITE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E NOLANA AVE",
            "address_2": "SUITE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046189",
            "telephone_number": "956-800-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFISTICA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "NIKNAM",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "530-848-0283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marian Smith, AU.D.
• William D Snyder, MD
• Linda Lee Sobin-Reed, MS, CCC/SLP
• Socrates a Garrigos, Mdpa
• Sofia Vasquez-Solomon, MD, PA
• Semper Lumine Tanamor Sojor, FNP-C
• Sol del Valle Medical Equipment & Supplies
• Sol del Valle Primary Home Care, Inc.
• Solara Hospital McAllen LP
• Margarita Solis Lopez, B.S., SLP ASSISTANT

• General Practice Dentistry in McAllen, TX
• Providers in McAllen, 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 Jan 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.