Organization Active NPI

Amir Izaddoust

Doing business as All Dental

  • Dentist
  • Dallas, TX
National Provider Identifier
1710359971
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AMIR IZADDOUST
Doing business as
All Dental
Practice address
723 N. Fielder Rd
Suite E
Dallas, TX 76012
Phone
(214) 762-4604
NPI assigned
Oct 28, 2015
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Amir IzaddoustNPI 1306854690
Title
Owner/Provider
Phone
(817) 762-4604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

723 N. Fielder Rd
Suite E
Dallas, TX 76012

Mailing address

723 N. Fielder Rd
Suite E
Dallas, TX 76012
Phone (214) 762-4604

Other names 1

  • All Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

723 N Fielder Rd
Ste E
Arlington, TX 76012
Phone (817) 462-0007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1710359971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N. FIELDER RD",
            "address_2": "SUITE E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "76012",
            "telephone_number": "214-762-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N. FIELDER RD",
            "address_2": "SUITE E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "76012",
            "telephone_number": "214-762-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR IZADDOUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "IZADDOUST",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-762-4604"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.