Modern Texas Dental Specialties

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25600 Issued in TX

Legal business name

MODERN TEXAS DENTAL SPECIALTIES

Practice address

2840 Keller Springs Rd
Suite 703
Carrollton, TX 75006-4829

Phone

(214) 483-3660

Fax

(214) 483-3577

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Maheeb Jaouni, DDS, MS

Title

President

Phone

(214) 483-3660

Specialties & licenses 1

Addresses

Other names 1

• Texas Endodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Aker, DMD, FAGD

  • Endodontics
  • Carrollton, TX
  • NPI 1295820405
  NPD (past)
• Karishma Patil, BDS, MSD

  • Endodontics
  • Dallas, TX
  • NPI 1265984470
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1942569561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 KELLER SPRINGS RD",
            "address_2": "SUITE 703",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064829",
            "telephone_number": "214-483-3660",
            "fax_number": "214-483-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 KELLER SPRINGS RD",
            "address_2": "SUITE 703",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064829",
            "telephone_number": "214-483-3660",
            "fax_number": "214-483-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN TEXAS DENTAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "JAOUNI",
        "authorized_official_first_name": "MAHEEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-483-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miracle Care Agency LLC
• Muhammad A Mirza, M.D.
• Poonam Misra
• James Arthur Mitchell, D.C.
• MK Tech Solutions LLC
• Lindsey Sharon Moeller
• John Clark Moffett, O.D.
• Arman Moghadas
• Jacqueline Moraa Mogusu
• Mohan Penmetcha, M.D., P.a.

• All providers in Carrollton, TX
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.