Organization Active NPI

Green Oaks Family Dentistry PC

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1730265968
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16838 Issued in TX
Legal business name
GREEN OAKS FAMILY DENTISTRY PC
Practice address
2711 W Green Oaks Blvd
Arlington, TX 76016-1671
Phone
(817) 451-9292
Fax
(817) 451-3137
NPI assigned
Oct 31, 2006
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Bobby Hassanzadeh, DDSNPI 1952728644
Title
Owner
Phone
(817) 451-9292

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16838 TX Primary
General Practice Dentistry 1223G0001X 17911 TX

Addresses

Primary practice location

2711 W Green Oaks Blvd
Arlington, TX 76016-1671

Mailing address

2711 W Green Oaks Blvd
Arlington, TX 76016-1671
Phone (817) 451-9292

National Provider Directory

National Provider Directory

Locations

2711 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 451-9292

Practitioners & affiliated clinicians

Practitioners 2

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1730265968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161671",
            "telephone_number": "817-451-9292",
            "fax_number": "817-451-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161671",
            "telephone_number": "817-451-9292",
            "fax_number": "817-451-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAKS FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "HASSANZADEH",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-451-9292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16838",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.