Individual provider Active NPI

Nilo Nakhaie, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1891270021
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34667 Issued in TX
Practice address
6210 Campbell Rd Ste 150
Dallas, TX 75248-1380
Phone
(972) 818-2244
NPI assigned
Oct 3, 2018
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34667 TX Primary

Addresses

Primary practice location

6210 Campbell Rd Ste 150
Dallas, TX 75248-1380

Mailing address

6210 Campbell Rd Ste 150
Dallas, TX 75248-1380
Phone (972) 818-2244

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
34667TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1891270021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 CAMPBELL RD STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481380",
            "telephone_number": "972-818-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 CAMPBELL RD STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481380",
            "telephone_number": "972-818-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKHAIE",
        "first_name": "NILO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34667",
            "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 Feb 10, 2020; 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.