Active NPI
Mahmoud Irannezhad, DDS
- Dentist
- Conroe, TX
National Provider Identifier
1841852910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35347
- Practice address
- 1805 W White Oak Ter Ste a
Conroe, TX 77304-3456 - Phone
- (936) 588-4433
- NPI assigned
- Jun 28, 2019
- Last updated
- Feb 13, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 35347 | TX | Primary |
Addresses
Primary practice location
1805 W White Oak Ter Ste a
Conroe, TX 77304-3456
Mailing address
1805 W White Oak Ter Ste a
Conroe, TX 77304-3456
Phone (936) 588-4433
Other practice location 1
1601 Forest Trl
Temple, TX 76502-2715
Phone (254) 778-3002
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 |
|---|---|---|---|
| 35347 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahmoud Irannezhad DDS, PLLC | Current | Accepting new patients | |
| Carus Dental PC | Past | Accepting new patients | |
| Dental Health Associates of Texas, PC. | Past | Accepting new patients | |
| Longhorn Dental | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Houston, TX
- NPI 1164224614
-
dba White Oak Dental Care
- General Practice Dentistry
- Conroe, TX
- NPI 1376776807
-
- General Practice Dentistry
- Temple, TX
- NPI 1780764415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1841852910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 W WHITE OAK TER STE A",
"city": "CONROE",
"state": "TX",
"postal_code": "773043456",
"telephone_number": "936-588-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 W WHITE OAK TER STE A",
"city": "CONROE",
"state": "TX",
"postal_code": "773043456",
"telephone_number": "936-588-4433"
}
],
"practiceLocations": [
{
"address_1": "1601 Forest Trl",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765022715",
"country_code": "US",
"telephone_number": "254-778-3002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRANNEZHAD",
"first_name": "MAHMOUD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-28",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.