NPI 1134529290 · live from the CMS NPI Registry
Kevin Baharvand, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in The Colony, TX. National Provider Identifier 1134529290, active.
NPI record
| NPI | 1134529290 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4713 Highway 121 Ste 304, The Colony, TX 75056 |
| Practice phone | 617-699-2519 |
| Mailing address | Po Box 860036, Minneapolis, MN 55486 |
| Enumerated | August 26, 2014 |
| Last updated | March 20, 2024 |
| Sole proprietor | No |
| Other names | Kevin Baharvand |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 32435 (TX) |
| Dentist | 122300000X | DN1856667 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 32435 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.