Individual provider Active NPI

Ali Jahangiri, DDS

  • Dentist
  • Katy, TX
National Provider Identifier
1649436270
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23993 Issued in TX
Practice address
6734 Westheimer Lakes North Drive
Suite 103
Katy, TX 77494-5713
Phone
(281) 394-2929
Fax
(281) 394-2921
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23993 TX Primary

Addresses

Primary practice location

6734 Westheimer Lakes North Drive
Suite 103
Katy, TX 77494-5713

Mailing address

6734 Westheimer Lakes North Drive
Suite 103
Katy, TX 77494-5713
Phone (281) 394-2929

Other identifiers 1

IdentifierTypeStateIssuer
2026056MedicaidTX

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

LicenseStateTypeSpecialty
23993TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1649436270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 WESTHEIMER LAKES NORTH DRIVE",
            "address_2": "SUITE 103",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945713",
            "telephone_number": "281-394-2929",
            "fax_number": "281-394-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6734 WESTHEIMER LAKES NORTH DRIVE",
            "address_2": "SUITE 103",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945713",
            "telephone_number": "281-394-2929",
            "fax_number": "281-394-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANGIRI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.