NPIMap

Organization Active NPI

East Dallas Dentistry PLLC

  • Public Health Dentistry
  • Dallas, TX
National Provider Identifier
1780186205
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
33767 Issued in TX
Legal business name
EAST DALLAS DENTISTRY PLLC
Practice address
5429 E Grand Ave
Dallas, TX 75223-1914
Phone
(214) 377-7312
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Dr. Justin Masseeh Emami, DDS
Title
Owner
Phone
(918) 695-7616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 33767 TX Primary

Addresses

Primary practice location

5429 E Grand Ave
Dallas, TX 75223-1914

Mailing address

11627 S Louisville Ave
Tulsa, OK 74137-8543
Phone (918) 695-7616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1780186205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11627 S LOUISVILLE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378543",
            "telephone_number": "918-695-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 E GRAND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752231914",
            "telephone_number": "214-377-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DALLAS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "EMAMI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MASSEEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-695-7616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "33767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 28, 2018; 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.