Individual provider Active NPI

Seyedeh Delaram Abaei, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1790307726
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36077 Issued in TX
Practice address
8610 Greenville Ave Ste 150
Dallas, TX 75243-7159
Phone
(832) 704-0508
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36077 TX Primary

Addresses

Primary practice location

8610 Greenville Ave Ste 150
Dallas, TX 75243-7159

Mailing address

906 Allen St Apt 1831
Dallas, TX 75204-5863
Phone (832) 704-0508

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
36077TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1790307726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ALLEN ST APT 1831",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045863",
            "telephone_number": "832-704-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 GREENVILLE AVE STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437159",
            "telephone_number": "832-704-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAEI",
        "first_name": "SEYEDEH",
        "middle_name": "DELARAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36077",
            "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 May 13, 2020; 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.