Active NPI
Sanam Soroudi
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1861718827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33623
- Practice address
- 8764 Research Blvd Ste D
Austin, TX 78758-8540 - Phone
- (737) 802-3822
- NPI assigned
- Apr 15, 2010
- Last updated
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33623 | TX | Primary |
Addresses
Primary practice location
8764 Research Blvd Ste D
Austin, TX 78758-8540
Mailing address
4316 Topanga Canyon Blvd
Woodland Hills, CA 91364-5238
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33623 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Research RSVS PLLC | General Practice | Current | Accepting new patients |
| Mike Pirbazari, DDS. PHD, Inc. | Past | Accepting new patients | |
| Birva B. Joshi, DDS Inc | General Practice | Past | Accepting new patients |
Locations
8764 Research Blvd
Ste D
Austin, TX 78758
Phone (737) 802-3822
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- West Hills, CA
- NPI 1609395631
-
- Endodontics
- West Hills, CA
- NPI 1225463037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1861718827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 TOPANGA CANYON BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913645238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8764 RESEARCH BLVD STE D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787588540",
"telephone_number": "737-802-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOROUDI",
"first_name": "SANAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2021-06-28",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.