Ali Golshani, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

31091 Issued in TX

Practice address

5329 Serene Hills Dr Ste 104
Lakeway, TX 78738-1257

Phone

(512) 334-0345

Fax

(512) 870-9803

NPI assigned

Jun 27, 2015

Last updated

Mar 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S & a Golshani, PLLC

  dba Serene Hills Dentistry

  • General Practice Dentistry
  • Lakeway, TX
  • NPI 1881102747
  NPD (past)

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1790167617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 SERENE HILLS DR STE 104",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381257",
            "telephone_number": "512-334-0345",
            "fax_number": "512-870-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 SERENE HILLS DR STE 104",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787381257",
            "telephone_number": "512-334-0345",
            "fax_number": "512-870-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSHANI",
        "first_name": "ALI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-27",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Sue Gastineau, MA, LPC-A
• Samantha Nicole Gdanski
• Marissa F Gilbert, LCSW
• Katherine A. Gilliland, ANP
• Golden Ears Audiology PLLC
• Sara Elizabeth Golshani, D.D.S.
• Adrienne Gonzales, DO
• Ethan Matthew Gonzales
• Victor H Gonzalez Montoya, MD
• Karime Gonzalez, MD

• Dentist in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.