Individual provider Active NPI

Borhan Pajoohi, DMD

  • Dentist
  • Garland, TX
National Provider Identifier
1679753701
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21587 Issued in TX
Practice address
100 N 11TH St
Garland, TX 75040-6103
Phone
(972) 276-0159
NPI assigned
Nov 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21587 TX Primary

Addresses

Primary practice location

100 N 11TH St
Garland, TX 75040-6103

Mailing address

1320 Greenleaf Cir
Plano, TX 75025-3441
Phone (214) 415-9096

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
21587TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1679753701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 GREENLEAF CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253441",
            "telephone_number": "214-415-9096",
            "fax_number": "972-276-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 11TH ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406103",
            "telephone_number": "972-276-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJOOHI",
        "first_name": "BORHAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.