Active NPI
Fereshteh Ganjoor, D.D.S.
- Dentist
- Celina, TX
National Provider Identifier
1972795532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23268
- Practice address
- 2750 Preston Rd
Ste #111
Celina, TX 75009 - Phone
- (972) 809-7850
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 23268 | TX | Primary |
Addresses
Primary practice location
2750 Preston Rd
Ste #111
Celina, TX 75009
Mailing address
3248 S Preston Rd
# 140
Celina, TX 75009-3808
Phone (972) 809-7850
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622001540 | TX | Order and Referring Only - Dentist | 2163713157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23268 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Smile Center PA | Dentist | Current | Accepting new patients |
Locations
3248 S Preston Rd
Ste 140
Celina, TX 75009
Phone (214) 851-0130
Organizations & group practices 1
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.
-
- Dentist
- Celina, TX
- NPI 1003322678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1972795532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3248 S PRESTON RD",
"address_2": "# 140",
"city": "CELINA",
"state": "TX",
"postal_code": "750093808",
"telephone_number": "972-809-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 PRESTON RD",
"address_2": "STE #111",
"city": "CELINA",
"state": "TX",
"postal_code": "75009",
"telephone_number": "972-809-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANJOOR",
"first_name": "FERESHTEH",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "23268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Celina, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.