Individual provider Active NPI

Mohammad Allamarvdasht, D.D.S

  • Dentist
  • Baytown, TX
National Provider Identifier
1649535998
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30318 Issued in TX
Practice address
7599 Garth Rd
800
Baytown, TX 77521-7721
Phone
(284) 421-3000
NPI assigned
Jul 11, 2012
Last updated
Aug 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057071 NY
Dentist 122300000X 30318 TX Primary

Addresses

Primary practice location

7599 Garth Rd
800
Baytown, TX 77521-7721

Mailing address

7599 Garth Rd
800
Baytown, TX 77521-7721

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
30318TXMDDentist
057071NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1649535998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7599 GARTH RD",
            "address_2": "800",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775217721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7599 GARTH RD",
            "address_2": "800",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775217721",
            "telephone_number": "284-421-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAMARVDASHT",
        "first_name": "MOHAMMAD",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057071",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.