Roshan Smiley Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROSHAN SMILEY DENTAL GROUP PLLC

Doing business as

Elite Dental

Practice address

737 Irby LN
Irving, TX 75061

Phone

(405) 339-4461

Fax

(972) 329-7005

NPI assigned

Jun 10, 2020

Last updated

Jun 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roshanak Esmaeili Ahmadabadi, DDS

Title

Dentist

Phone

(405) 339-4461

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roshanak Esmaeili Ahmadabadi

  • Dentist
  • Carrollton, TX
  • NPI 1770004475
  NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1952926404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CARLISLE ST APT 15111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041497",
            "telephone_number": "405-339-4461",
            "fax_number": "972-329-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 IRBY LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "405-339-4461",
            "fax_number": "972-329-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHAN SMILEY DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "AHMADABADI",
        "authorized_official_first_name": "ROSHANAK",
        "authorized_official_middle_name": "ESMAEILI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-339-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kasey Lynn Roof, NP
• Roots Food Group Management, LLC
• Michael Rooz, DDS
• Larry D Roper
• Meredith Elane Rose
• Carli Sinclair Ross, BSN, RN
• Rosyray Home Care Services Inc
• Michael Rothkopf, M.D.
• Elizabeth Therese Rotondi, RD
• Jillian Kay Rovetti, DC

• General Practice Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.