Individual provider Active NPI

Amir Hossein Mehrabi, DDS., MSD.

  • Endodontics
  • Little Rock, AR
National Provider Identifier
1760492953
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3100 Issued in AR
Practice address
1225 Breckenridge Dr
Suite 203
Little Rock, AR 72205-1558
Phone
(501) 227-7949
Fax
(501) 227-7763
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7022 TN
Endodontics 1223E0200X 3100 AR Primary

Addresses

Primary practice location

1225 Breckenridge Dr
Suite 203
Little Rock, AR 72205-1558

Mailing address

1225 Breckenridge Dr
Suite 203
Little Rock, AR 72205-1558
Phone (501) 227-7949

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
7022TNMDProfessional Counselor
3100ARMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates Endodontics 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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1760492953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 BRECKENRIDGE DR",
            "address_2": "SUITE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051558",
            "telephone_number": "501-227-7949",
            "fax_number": "501-227-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 BRECKENRIDGE DR",
            "address_2": "SUITE 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051558",
            "telephone_number": "501-227-7949",
            "fax_number": "501-227-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRABI",
        "first_name": "AMIR",
        "middle_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "DDS., MSD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "7022",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AR",
            "license": "3100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.