Individual provider Active NPI

Mandana Bastani Milani, DMD

  • Dentist
  • McKinney, TX
National Provider Identifier
1689939878
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28669 Issued in TX
Practice address
8994 Tour Dr Ste 220
McKinney, TX 75070-2036
Phone
(214) 304-1199
Fax
(469) 301-3216
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28669 TX Primary
Dentist 122300000X 12011853A IN

Addresses

Primary practice location

8994 Tour Dr Ste 220
McKinney, TX 75070-2036

Mailing address

8994 Tour Dr Ste 220
McKinney, TX 75070-2036
Phone (214) 304-1199

Other practice location 1

400 E Diamond Ave
Evansville, IN 47711-3714
Phone (812) 618-4635

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
12011853AINMDDentist
28669TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Family Dental PLLC CurrentSince Apr 26, 2020 Accepting new patients

Locations

8994 Tour Dr
Ste 220
McKinney, TX 75070
Phone (214) 304-1199

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1689939878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8994 TOUR DR STE 220",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702036",
            "telephone_number": "214-304-1199",
            "fax_number": "469-301-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8994 TOUR DR STE 220",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702036",
            "telephone_number": "214-304-1199",
            "fax_number": "469-301-3216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Diamond Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477113714",
            "country_code": "US",
            "telephone_number": "812-618-4635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILANI",
        "first_name": "MANDANA",
        "middle_name": "BASTANI",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28669",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011853A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; 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.