Individual provider Active NPI

Andia Nadimi, DMD

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1861794422
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
UTSA927-X Issued in TX
Practice address
7703 Floyd Curl Drive Ut Health Science Center at San a
MSC 7903, Advanced General Dentistry Clinic
San Antonio, TX 78229-3900
Phone
(210) 567-3456
Fax
(210) 567-3443
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X UTSA927-X TX Primary

Addresses

Primary practice location

7703 Floyd Curl Drive Ut Health Science Center at San a
MSC 7903, Advanced General Dentistry Clinic
San Antonio, TX 78229-3900

Mailing address

7703 Floyd Curl Drive Ut Health Science Center at San a
MSC 7914, Dept of Comprehensive Dentistry
San Antonio, TX 78229-3900
Phone (210) 567-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207002642 TX Order and Referring Only - DentistPractitioner - Dentist 4587944624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UTSA927-XTXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1861794422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DRIVE UT HEALTH SCIENCE CENTER AT SAN A",
            "address_2": "MSC 7914, DEPT OF COMPREHENSIVE DENTISTRY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293900",
            "telephone_number": "210-567-3456",
            "fax_number": "210-567-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DRIVE UT HEALTH SCIENCE CENTER AT SAN A",
            "address_2": "MSC 7903, ADVANCED GENERAL DENTISTRY CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293900",
            "telephone_number": "210-567-3456",
            "fax_number": "210-567-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIMI",
        "first_name": "ANDIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "UTSA927-X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.