Individual provider Active NPI

Seyed Moein Seyed Sadrkhani

  • Endodontics
  • Dallas, TX
National Provider Identifier
1861002933
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
36471 Issued in TX
Practice address
11910 Greenville Ave Ste 450
Dallas, TX 75243-3564
Phone
(972) 644-1162
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 36471 TX Primary

Addresses

Primary practice location

11910 Greenville Ave Ste 450
Dallas, TX 75243-3564

Mailing address

11910 Greenville Ave Ste 450
Dallas, TX 75243-3564
Phone (972) 644-1162

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhill Endodontics Endodontics PastSince Jan 1, 2021 Accepting new patients
The Endodontic Group, Inc. Endodontics PastSince Aug 1, 2020 Accepting new patients
Dallas Endodontics, P.a. Endodontics PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 3

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1861002933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433564",
            "telephone_number": "972-644-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433564",
            "telephone_number": "972-644-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYED SADRKHANI",
        "first_name": "SEYED MOEIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "36471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.