Mahnaz Bagherpour, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39092 Issued in TX

Practice address

7112 Ed Bluestein Blvd Ste 130
Austin, TX 78723-2924

Phone

(512) 926-7001

Fax

(512) 926-7040

NPI assigned

Apr 10, 2007

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mahnaz Bagherpour Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1821211798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232924",
            "telephone_number": "512-926-7001",
            "fax_number": "512-926-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 ED BLUESTEIN BLVD STE 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232924",
            "telephone_number": "512-926-7001",
            "fax_number": "512-926-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERPOUR",
        "first_name": "MAHNAZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHNAZ",
            "last_name": "BAGHERPOUR",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan C Baer, MD
• Carol M Baewer, WHNP
• Leslie G Bagby, RDN
• Adam Baggao, PT
• Jenny Yi-Ching Baggett
• Kelli Anne Bagwell, MD
• Fardokht Bahadori-Esfahani, M.D
• Faustin M. Bahizi
• Salina Bahk
• Dallas Elliott Bailes, MD

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.