Hamidreza Mirsepasi, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

30750 Issued in TX

Practice address

1001 Buckingham Rd
Richardson, TX 75081-5850

Phone

(972) 231-5744

NPI assigned

Aug 20, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Hamid Mirsepasi DDS, PLLC

  • Dental Clinic/Center
  • Richardson, TX
  • NPI 1518430990
  NPD Authorized official

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1952533226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BUCKINGHAM RD STE 112",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815850",
            "telephone_number": "972-231-5744",
            "fax_number": "972-231-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BUCKINGHAM RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815850",
            "telephone_number": "972-231-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRSEPASI",
        "first_name": "HAMIDREZA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hana Miric
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• Angela Mitasky
• Aaliyah Marie Mitchell, RBT
• Ashlee Mitchell, B.S., EIS
• Nevaeh Mitchell

• Dentist in Richardson, TX
• Providers in Richardson, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.