ANAHITA MORTAZAVI (NPI# 1063997526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063997526 |
| Entity Type | Individual |
| Full Name | ANAHITA MORTAZAVI |
| Credential | RDH |
| Practice Address |
7500 Cambridge St Houston TX 77054-2032 |
| Mailing Address |
4111 Ponderosa Hills Ln Katy TX 77494-6736 |
| Practice Telephone | 7133203911 |
| Mailing Telephone | 7133203911 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 17287 | TX | Dental Providers |
| Street Address |
7500 CAMBRIDGE ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205059 | Gary R. Badger | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2005-06-15 |
| 1528666419 | Marianita Vasquez | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2020-10-13 |
| 1326645656 | Mary Jung | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2020-10-09 |
| 1588280580 | Zhen Shen | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2020-06-25 |
| 1871154773 | Ola Al Hatem | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2019-06-22 |
| 1225695687 | Binh T Pham | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2019-05-21 |
| 1700344371 | Ryan Anthony Rodriguez | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Houston, TX 77054-2032 | 2019-03-03 |
| 1558848226 | Sloane Kaminski-ditzel | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2018-07-25 |
| 1720565492 | Geethanjali Vipulanandan | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2018-07-25 |
| 1265925614 | Marcos Enrique Garcia | Dentist | 7500 Cambridge St, Houston, TX 77054-2032 | 2018-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
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| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198295 | Jana Kay Mannen | Dental Hygienist | 2310 Cherry Bend Dr, Houston, TX 77077-6502 | 2018-09-24 |
| 1881120236 | Amber Lovatos | Dental Hygienist | 1034 Cherry Spring Dr, Houston, TX 77038-2204 | 2017-05-04 |
| 1912311218 | Anthony Medick | Dental Hygienist | 16418 Canyon Chase Dr, Houston, TX 77095-6532 | 2014-06-13 |
| 1245654243 | Krystal Brooke Evans | Dental Hygienist | 9113 Stella Link Rd Ste C, Houston, TX 77025-3931 | 2014-02-11 |
| 1467792952 | Christine Michelle Jenkins | Dental Hygienist | 9807 Golden Sunshine Dr, Houston, TX 77064-4115 | 2013-02-21 |
| 1295090199 | Betty Jo Haynes | Dental Hygienist | 12414 Millridge Pines Ct, Houston, TX 77070-4896 | 2012-07-07 |
| 1538450572 | Tuong Van T Tran | Dental Hygienist | 14657 Sneider St Bldg 1377, Houston, TX 77034-5582 | 2011-04-26 |
| 1366643942 | Holly Childs Rice | Dental Hygienist | 6516 M.d. Anderson Blvd, Suite 1.085, Houston, TX 77030-3402 | 2007-05-30 |
| 1649391921 | Darla Mckitrick | Dental Hygienist | 6516 Md Anderson Blvd., Ste. 1.085e, Houston, TX 77030 | 2007-04-03 |
| 1093836447 | Jayne Anne Mcwherter | Dental Hygienist | 6516 M. D. Anderson Blvd., 1.085, Houston, TX 77030-3402 | 2007-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.