Active NPI
Lifetime Dental, PA
- General Practice Dentistry
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LIFETIME DENTAL, PA
- Practice address
- 10750 Barker Cypress Rd Ste 111
Cypress, TX 77433-2282 - Phone
- (281) 213-8666
- Fax
- (281) 256-2819
- NPI assigned
- Mar 12, 2008
- Last updated
- Nov 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Samaneh Maryam Daftarian, D.D.S
- Title
- Dentist/ President
- Phone
- (281) 213-8666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | TX | Primary |
Addresses
Primary practice location
10750 Barker Cypress Rd Ste 111
Cypress, TX 77433-2282
Mailing address
10750 Barker Cypress Rd Ste 111
Cypress, TX 77433-2282
Phone (281) 213-8666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178127001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
10750 Barker Cypress Rd
Ste 111
Cypress, TX 77433
Phone (281) 213-8666
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Cypress, TX
- NPI 1407928716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320710400000",
"number": "1639340128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10750 BARKER CYPRESS RD STE 111",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774332282",
"telephone_number": "281-213-8666",
"fax_number": "281-256-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 BARKER CYPRESS RD STE 111",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774332282",
"telephone_number": "281-213-8666",
"fax_number": "281-256-2819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME DENTAL, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2011-11-08",
"status": "A",
"authorized_official_last_name": "DAFTARIAN",
"authorized_official_first_name": "SAMANEH",
"authorized_official_middle_name": "MARYAM",
"authorized_official_title_or_position": "DENTIST/ PRESIDENT",
"authorized_official_telephone_number": "281-213-8666",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178127001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.