Organization Active NPI

Premier Dental PA

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1831292440
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18922 Issued in TX
Legal business name
PREMIER DENTAL PA
Practice address
5814 New Territory Blvd
Sugar Land, TX 77479-5948
Phone
(281) 277-8787
Fax
(281) 277-8788
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Akbar Agha Ehrahimian, DDS
Title
President
Phone
(281) 277-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18922 TX Primary

Addresses

Primary practice location

5814 New Territory Blvd
Sugar Land, TX 77479-5948

Mailing address

5814 New Territory Blvd
Sugar Land, TX 77479-5948
Phone (281) 277-8787

National Provider Directory

National Provider Directory

Locations

5814 New Territory Blvd
Sugar Land, TX 77479
Phone (281) 277-8787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831292440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 NEW TERRITORY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795948",
            "telephone_number": "281-277-8787",
            "fax_number": "281-277-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 NEW TERRITORY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795948",
            "telephone_number": "281-277-8787",
            "fax_number": "281-277-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EHRAHIMIAN",
        "authorized_official_first_name": "AKBAR",
        "authorized_official_middle_name": "AGHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-277-8787",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.