Individual provider Active NPI

Mahboubeh Belivand, DMD

  • Dentist
  • Katy, TX
National Provider Identifier
1679464192
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41705 Issued in TX
Practice address
2004 S Mason Rd Ste B3
Katy, TX 77450-6252
Phone
(832) 222-0016
NPI assigned
Jul 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41705 TX Primary

Addresses

Primary practice location

2004 S Mason Rd Ste B3
Katy, TX 77450-6252

Mailing address

7322 Clairson LN
Cypress, TX 77433-1325
Phone (832) 762-8594

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Parkway Dental PLLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

2004 S Mason Rd
Ste B3
Katy, TX 77450
Phone (832) 222-0016

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1679464192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 CLAIRSON LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331325",
            "telephone_number": "832-762-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 S MASON RD STE B3",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506252",
            "telephone_number": "832-222-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIVAND",
        "first_name": "MAHBOUBEH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41705",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 12, 2025; 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.