Individual provider Active NPI

Mehrnaz Tahmasbi Arashlow, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1912365396
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32665 Issued in TX
Practice address
3302 Gaston Ave
Dallas, TX 75246-2013
Phone
(214) 828-8100
NPI assigned
Feb 1, 2016
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X DRP1369 FL
General Practice Dentistry 1223G0001X 32665 TX Primary

Addresses

Primary practice location

3302 Gaston Ave
Dallas, TX 75246-2013

Mailing address

3302 Gaston Ave
Dallas, TX 75246-2013

Other practice location 1

3030 Lbj Fwy Ste 1400
Dallas, TX 75234-2766
Phone (214) 841-4200

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
I20210816003348 TX Practitioner - Oral and Maxillofacial RadiologyPractitioner - Oral Surgery 8123423076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32665TXMDGeneral Practice Dentistry
DRP1369FLMDOral and Maxillofacial Radiology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center General Practice CurrentSince Jun 18, 2021 Accepting new patients

Locations

3302 Gaston Ave
Dallas, TX 75246
Phone (214) 828-8100

4570 Scyene Rd
Dallas, TX 75210
Phone (214) 370-7260

3000 Gaston Ave
Dallas, TX 75226
Phone (214) 828-8100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1912365396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462013",
            "telephone_number": "214-828-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Lbj Fwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752342766",
            "country_code": "US",
            "telephone_number": "214-841-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHMASBI ARASHLOW",
        "first_name": "MEHRNAZ",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "FL",
            "license": "DRP1369",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.