Active NPI
Reza Arzegar, D.D.S.
- Pediatric Dentistry
- Austin, TX
National Provider Identifier
1942229067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22434
- Practice address
- 4631 Airport Blvd
Suite#120a
Austin, TX 78751-3453 - Phone
- (512) 371-8858
- Fax
- (512) 371-8860
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22434 | TX | Primary |
Addresses
Primary practice location
4631 Airport Blvd
Suite#120a
Austin, TX 78751-3453
Mailing address
4631 Airport Blvd
Suite#120a
Austin, TX 78751-3453
Phone (512) 371-8858
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22434 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1942229067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 AIRPORT BLVD",
"address_2": "SUITE#120A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787513453",
"telephone_number": "512-371-8858",
"fax_number": "512-371-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4631 AIRPORT BLVD",
"address_2": "SUITE#120A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787513453",
"telephone_number": "512-371-8858",
"fax_number": "512-371-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARZEGAR",
"first_name": "REZA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "22434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.