NPIMap

Organization Active NPI

Western Dental

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1972769487
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19711 Issued in TX
Legal business name
WESTERN DENTAL
Practice address
2145 N Josey LN
#220
Carrollton, TX 75006-2992
Phone
(972) 820-0333
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Hossain Dezham, DDS
Title
Dentist
Phone
(972) 820-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19711 TX Primary

Addresses

Primary practice location

2145 N Josey LN
#220
Carrollton, TX 75006-2992

Mailing address

2145 N Josey LN
#220
Carrollton, TX 75006-2992
Phone (972) 820-0333

National Provider Directory

National Provider Directory
Tax ID family
Western Dental5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2145 N Josey Ln
Ste 220
Carrollton, TX 75006
Phone (972) 242-7874

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1972769487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 N JOSEY LN",
            "address_2": "#220",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062992",
            "telephone_number": "972-820-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 N JOSEY LN",
            "address_2": "#220",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062992",
            "telephone_number": "972-820-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "DEZHAM",
        "authorized_official_first_name": "HOSSAIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-820-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.