Mohammadreza Akhavan Sharif, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041364 Issued in PA

Practice address

4310 Medical Pkwy Ste 203
Austin, TX 78756-3331

Phone

(512) 459-3431

NPI assigned

Jul 12, 2017

Last updated

Nov 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Akhavan PLLC

  dba Precision Endodontics

  • Dental Clinic/Center
  • Cedar Park, TX
  • NPI 1184397499
  NPD Authorized official
• Jeffrey M Weiner DDS PC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1558309161
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1649792532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563331",
            "telephone_number": "512-459-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3254 Red Lion Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141109",
            "country_code": "US",
            "telephone_number": "215-632-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKHAVAN SHARIF",
        "first_name": "MOHAMMADREZA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feyisara R Akanki-Ahmad, MD
• Akarihome LLC (FirstLight Home Care of Wells Branch)
• Ayesha Akbar, LMSW
• Courtney Aken, RD
• Noah Akey
• Fauzia Akhtar, PMHNP
• Syed Hasan Akhtar, M.D.
• Sara Akhund
• Evelyn Robo Aki, NP
• Aya Akid, MSN, APRN, AG-CNS

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.