Individual provider Active NPI

Nazanin Ghahremani, D.D.S.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1750720249
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29143 Issued in TX
Practice address
3766 Tupelo LN Apt 1808
San Antonio, TX 78229-2213
Phone
(210) 995-9222
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29143 TX Primary

Addresses

Primary practice location

3766 Tupelo LN Apt 1808
San Antonio, TX 78229-2213

Mailing address

3766 Tupelo LN Apt 1808
San Antonio, TX 78229-2213
Phone (210) 995-9222

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
29143TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mersian Dental, PLLC Past Accepting new patients

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1750720249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3766 TUPELO LN APT 1808",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292213",
            "telephone_number": "210-995-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3766 TUPELO LN APT 1808",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292213",
            "telephone_number": "210-995-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAHREMANI",
        "first_name": "NAZANIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.