Individual provider Active NPI

Soroush Vaseghi, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1992567366
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40235 Issued in TX
Practice address
7575 Cambridge St Apt 3004
Houston, TX 77054-2042
Phone
(512) 300-9560
NPI assigned
Jan 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40235 TX Primary

Addresses

Primary practice location

7575 Cambridge St Apt 3004
Houston, TX 77054-2042

Mailing address

7575 Cambridge St Apt 3004
Houston, TX 77054-2042
Phone (512) 300-9560

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815000991 TX Order and Referring Only - DentistPractitioner - Dentist 8921507112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40235TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1992567366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 CAMBRIDGE ST APT 3004",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542042",
            "telephone_number": "512-300-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 CAMBRIDGE ST APT 3004",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542042",
            "telephone_number": "512-300-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASEGHI",
        "first_name": "SOROUSH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.