Active NPI
Tabasom Pourbeik
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1972816304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29687
- Practice address
- 7841 Alexander Promenade PL Ste 100
Raleigh, NC 27617-1914 - Phone
- (919) 354-5400
- NPI assigned
- Jul 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8977 | NC | |
| General Practice Dentistry | 1223G0001X | 29687 | TX | Primary |
Addresses
Primary practice location
7841 Alexander Promenade PL Ste 100
Raleigh, NC 27617-1914
Mailing address
7841 Alexander Promenade PL Ste 100
Raleigh, NC 27617-1914
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29687 | TX | MD | General Practice Dentistry |
| 8977 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1972816304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7841 ALEXANDER PROMENADE PL STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276171914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7841 ALEXANDER PROMENADE PL STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276171914",
"telephone_number": "919-354-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURBEIK",
"first_name": "TABASOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8977",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "29687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.