Afshin Rezvani, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22161 Issued in TX

Practice address

915 W. Exchange Pkway
Suite 210
Allen, TX 75013

Phone

(214) 383-3883

Fax

(214) 383-9043

NPI assigned

Aug 3, 2006

Last updated

Oct 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North Dallas Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Allen, TX
  • NPI 1922333814
  NPD (past) Authorized official
• Family Care and Wellness, PLLC

  • Family Medicine Physician
  • Allen, TX
  • NPI 1366099194
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1952319568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "214-383-3883",
            "fax_number": "214-383-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W. EXCHANGE PKWAY",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "214-383-3883",
            "fax_number": "214-383-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZVANI",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rescuemd PLLC
• Resolute Anesthesia Associates, PLLC
• Restorative Therapeutics
• Wenell Rexford
• Joel Reyes PT, DPT
• Denny Rice, RN, IBCLC
• Karina Rice, LPC, NCC
• Richard L. Grandjean, M.D., P.a. (Raintree Family Medicine)
• Richard L. Ragsdale D. O., P.a.
• Latoya Richards, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Allen, TX
• Providers in Allen, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.