Maziar Minoofar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31549 Issued in TX

Practice address

1816 N Zaragoza Rd
Ste 103
El Paso, TX 79936-8019

Phone

(323) 205-6294

NPI assigned

Nov 25, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1851765069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NORTHCHASE PKWY SE STE 290",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676402",
            "telephone_number": "678-904-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 N ZARAGOZA RD",
            "address_2": "STE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368019",
            "telephone_number": "323-205-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOOFAR",
        "first_name": "MAZIAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31549",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Ivan Minjares
• Karen D Minjares
• Aria Carolyn Minjarez, DO
• Kevin England Mink, DMD
• Margaret Minnerath
• Gordon H. Minton, MD
• Kamille Yvonne Minton
• Michaela Anne Miramon, FNP-C
• Vanessa Emily Miramontes, FNP
• Amanda Renee Miranda, CPNP-PC

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, 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 Apr 17, 2018; 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.