Individual provider Active NPI

Tasneem Mahmood, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1851904148
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36596 Issued in TX
Practice address
3700 Buffalo Speedway Ste 310
Houston, TX 77098-3705
Phone
(713) 850-9699
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36596 TX
General Practice Dentistry 1223G0001X 36596 TX Primary

Addresses

Primary practice location

3700 Buffalo Speedway Ste 310
Houston, TX 77098-3705

Mailing address

3700 Buffalo Speedway Ste 310
Houston, TX 77098-3705
Phone (713) 850-9699

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FallCreek

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

LicenseStateTypeSpecialty
36596TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Dental Dentist PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1851904148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BUFFALO SPEEDWAY STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983705",
            "telephone_number": "713-850-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BUFFALO SPEEDWAY STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983705",
            "telephone_number": "713-850-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "TASNEEM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36596",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FallCreek",
            "affiliation": "N",
            "address_1": "9506 N Sam Houston Pkwy E",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773964901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 14, 2022; 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.