Individual provider Active NPI

Amir Nassim Sahori

  • Dentist
  • Allen, TX
National Provider Identifier
1669164497
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41524 Issued in TX
Practice address
190 E Stacy Rd Ste 314
Allen, TX 75002-8738
Phone
(972) 678-1277
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 41524 TX Primary

Addresses

Primary practice location

190 E Stacy Rd Ste 314
Allen, TX 75002-8738

Mailing address

190 E Stacy Rd Ste 314
Allen, TX 75002-8738
Phone (972) 678-1277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919004379 TX Order and Referring Only - DentistPractitioner - Dentist 9537663695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41524TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1669164497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 314",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028738",
            "telephone_number": "972-678-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 314",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028738",
            "telephone_number": "972-678-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHORI",
        "first_name": "AMIR",
        "middle_name": "NASSIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.