Organization Active NPI

Baharloo and Farzam DDS PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1851511240
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19027 Issued in TX
Legal business name
BAHARLOO AND FARZAM DDS PA
Practice address
5516 Airline Dr
5516 Airline Dr
Houston, TX 77076-4904
Phone
(713) 695-8188
Fax
(713) 695-8191
NPI assigned
Apr 26, 2007
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
Reza Baharloo, DDS
Title
Dentist
Phone
(713) 695-8188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19027 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18688 TX

Addresses

Primary practice location

5516 Airline Dr
5516 Airline Dr
Houston, TX 77076-4904

Mailing address

5516 Airline Dr
5516 Airline Dr
Houston, TX 77076-4904
Phone (713) 695-8188

Other names 1

  • baharloo and farzam dds pa Former legal business name

National Provider Directory

National Provider Directory

Locations

5516 Airline Dr
Houston, TX 77076
Phone (713) 695-8188

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851511240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 AIRLINE DR",
            "address_2": "5516 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764904",
            "telephone_number": "713-695-8188",
            "fax_number": "713-695-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 AIRLINE DR",
            "address_2": "5516 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764904",
            "telephone_number": "713-695-8188",
            "fax_number": "713-695-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHARLOO AND FARZAM DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAHARLOO",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-695-8188",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19027",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "baharloo and farzam dds pa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, 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.