Fatemeh Ebrahimi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19864 Issued in TX

Practice address

6430 Richmond Ave Ste 110
Houston, TX 77057

Phone

(713) 779-2273

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fatemeh Ebrahimi DDS PLLC

  • Dentist
  • Houston, TX
  • NPI 1134455066
  NPD Authorized official
• Gilan Dental Management LLC

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1154060457
  NPD (past) Authorized official
• Fatemeh Ebrahimi DDS PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1508260894
  NPD
• Gilan Dental Management LLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1720732258
  NPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1891908810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHIMNEY ROCK RD STE A2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566202",
            "telephone_number": "832-382-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "713-779-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14307 Swan Green Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770953593",
            "country_code": "US",
            "telephone_number": "832-382-5626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Chimney Rock Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770566202",
            "country_code": "US",
            "telephone_number": "832-382-5626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "FATEMEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007804004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007804002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edidiong Ebong
• Ebony Eyes Exceptional Care LLC
• Ebra Home Health Services Inc.
• Saida Ebrahim
• Ebrahimi Dental Management LLC
• Haleh Ebrahimi
• Michelle Ebrahimi, MSN, APRN, FNP, CNOR
• Parisa Reis Ebrahimi
• Ugochukwu Jerome Ebubechukwu, MD
• Brianna Denaye Eby, PT, DPT, FAAOMPT

• All providers in Houston, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.