Active NPI
Bahram Soroushi
- Dentist
- Grand Prairie, TX
National Provider Identifier
1962198218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42643
- Practice address
- 550 S Carrier Pkwy Ste 200
Grand Prairie, TX 75051-1592 - Phone
- (214) 677-0001
- NPI assigned
- Apr 11, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42643 | TX | Primary |
Addresses
Primary practice location
550 S Carrier Pkwy Ste 200
Grand Prairie, TX 75051-1592
Mailing address
550 S Carrier Pkwy Ste 200
Grand Prairie, TX 75051-1592
Phone (214) 677-0001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784419200000",
"number": "1962198218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S CARRIER PKWY STE 200",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750511592",
"telephone_number": "214-677-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S CARRIER PKWY STE 200",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750511592",
"telephone_number": "214-677-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOROUSHI",
"first_name": "BAHRAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2026-07-19",
"certification_date": "2026-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
- Solar Dental and Orthodontics PLLC
- Solar Homecare Inc
- Soleil Haven Hospice LLC
- Samantha J Solomon
- David E Sones, D.C.
- Sound Minds Psychiatry and Wellness PLLC
- South Atlantic Surgical Associates PLLC
- South Carrier Medical Center LLC
- South Texas Dental Associates, LP
- Southern Comfort Health Care Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.