Active NPI
Nadia Michelle Bahramnejad
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1740837186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35281
- Practice address
- 3604 Preston Rd
Plano, TX 75093-8629 - Phone
- (972) 312-0000
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35281 | TX | Primary |
Addresses
Primary practice location
3604 Preston Rd
Plano, TX 75093-8629
Mailing address
3225 Turtle Creek Blvd Apt 748
Dallas, TX 75219-5464
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mirandalacydds.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35281 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1740837186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 TURTLE CREEK BLVD APT 748",
"city": "DALLAS",
"state": "TX",
"postal_code": "752195464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750938629",
"telephone_number": "972-312-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHRAMNEJAD",
"first_name": "NADIA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35281",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mirandalacydds.com",
"affiliation": "N",
"address_1": "3604 Preston Rd",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750938629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.