Sasan Bastani, DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

29371 Issued in TX

Legal business name

SASAN BASTANI, DDS, PLLC

Practice address

1825 Wichita St
Houston, TX 77004-5952

Phone

(832) 654-3100

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sasan Bastani, DDS

Title

Dentist

Phone

(832) 654-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1861946212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22456",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772272456",
            "telephone_number": "832-654-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 WICHITA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045952",
            "telephone_number": "832-654-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASAN BASTANI, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "BASTANI",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-654-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walter Randall Sassard, M.D.

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.