Fereshteh Ganjoor, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

23268 Issued in TX

Practice address

2750 Preston Rd
Ste #111
Celina, TX 75009

Phone

(972) 809-7850

NPI assigned

Aug 16, 2007

Last updated

May 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Smile Center PA

  dba Celina Family Dentistry

  • Dentist
  • Celina, TX
  • NPI 1003322678
  NPD

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": []
}

• Joshua Michael Forbes, D.C.
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• Ellen Macy Gentile, M.S.,CCC-SLP
• Geofoa LLC
• Geofoa LLC (Goshen springs)
• Geofoa LLC (Goshen Spring Healthcare Services)
• Geofoa LLC (goshen spring healthcare services)

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

• 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.

Verify at the official NPI Registry.