SEYED MASOOD SHARIATI (NPI# 1902191703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902191703 |
| Entity Type | Individual |
| Full Name | SEYED MASOOD SHARIATI |
| Credential | DDS |
| Practice Address |
4200 South Fwy Suite 805 Fort Worth TX 76115-1400 |
| Mailing Address |
4238 Mckinney Ave Unit 5 Dallas TX 75205-4576 |
| Practice Telephone | 8179244220 |
| Mailing Telephone | 4697675105 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
26556 | TX | Dental Providers |
| Street Address |
4200 SOUTH FWY SUITE 805 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76115-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649235060 | Merrill L Littleberry | Counselor | 4200 South Fwy, Suite 424, Fort Worth, TX 76115-1400 | 2006-04-19 |
| 1366086589 | Uma Deepthi Potluri | Dentist | 4200 South Fwy, Fort Worth, TX 76115-1400 | 2019-10-31 |
| 1194203695 | Jan L Birks | Counselor | 4200 South Fwy, Fort Worth, TX 76115-1400 | 2018-08-06 |
| 1609375658 | Sowmya Renuka | Dentist | 4200 South Fwy, Fort Worth, TX 76115-1400 | 2018-02-05 |
| 1942616784 | Parthenia Harden | Licensed Vocational Nurse | 4200 South Fwy, 800, Fort Worth, TX 76115-1400 | 2014-07-01 |
| 1134534753 | Judy Jones | Licensed Vocational Nurse | 4200 South Fwy, Suite 800, Fort Worth, TX 76115-1400 | 2014-06-23 |
| 1780920884 | Familia Care Inc | Pharmacy | 4200 South Fwy, Suite 106, Fort Worth, TX 76115-1400 | 2012-12-17 |
| 1902159676 | Julio Augusto Valdes Salinas | Pediatrics | 4200 South Fwy, Suite 106, Fort Worth, TX 76115-1400 | 2012-10-18 |
| 1629329891 | Ismile Dental At La Gran Plaza, Pllc | Dentist | 4200 South Fwy, Suite 1550, Fort Worth, TX 76115-1400 | 2012-09-27 |
| 1912285420 | Won Jun Jung | Dentist | 4200 South Fwy, Suite 805, Fort Worth, TX 76115-1400 | 2011-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1770118911 | Dentists At Chisholm Trail, PC | Dentist | 9604 Ten Gallon Dr, Fort Worth, TX 76123-2186 | 2020-03-09 |
| 1821620121 | Eastchase Mighty Pllc | Dentist | 8430 East Fwy # 115, Fort Worth, TX 76120-4428 | 2020-02-05 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1730733171 | Andrea Uglem | Dentist | 2700 Horne St Ste 120, Fort Worth, TX 76107-4604 | 2019-07-24 |
| 1790338325 | Mint Dentistry Pllc | Dentist | 3901 West Fwy Ste 113, Fort Worth, TX 76107-5654 | 2019-07-23 |
| 1124671094 | Emily Jane Creighton | Dentist | 1100 S Lake St, Fort Worth, TX 76104-4374 | 2019-07-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76115 |
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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.