Active NPI
Hushang Ghodrat, DDS
- General Practice Dentistry
- Henderson, NC
National Provider Identifier
1811933849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6984
- Practice address
- 560 Dabney Drive
Suite C
Henderson, NC 27536-5919 - Phone
- (252) 492-1938
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6984 | NC | Primary |
Addresses
Primary practice location
560 Dabney Drive
Suite C
Henderson, NC 27536-5919
Mailing address
560 Dabney Drive
Suite C
Henderson, NC 27536
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011G5 | Other | NC | BCBS PROVIDER # |
| 6984 | Other | NC | DELTA DENTAL PROVIDER # |
| 8990121 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6984 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811933849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 DABNEY DRIVE",
"address_2": "SUITE C",
"city": "HENDERSON",
"state": "NC",
"postal_code": "27536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 DABNEY DRIVE",
"address_2": "SUITE C",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365919",
"telephone_number": "252-492-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHODRAT",
"first_name": "HUSHANG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "011G5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL PROVIDER #",
"identifier": "6984",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8990121",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
- Garrison Substance Abuse Services LLC
- Sorma Garvoye, MSW, LCSWA, LCASA
- Kimberly Frazier Gatrell, PHARMD
- Crenicia Jaila Gaunt, MSW, LCSW
- Genevieve E. Daurity DDS, PA
- Kaleb Joseph Gibbs, FNP-BC
- Christen Elaine Gillis, PA-C
- John Edward Gilmore-Cronin, LPC
- Patricia Fleener Glatt, MSW
- Richard A Goldstein, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.