Canyon Creek Family Dentistry, P.A.
NPI 1659502730ActiveOrganization· Dentist, General Practice· Richardson, TX
Dentist, General Practice in Richardson, Texas, registered in NPPES in August 2009. The authorized official on file is Afshin Azmoodeh, D.D.S., President.
Overview
| NPI | 1659502730 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2009 |
| Last updated in NPPES | Aug 6, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 20074 | TX |
| Dentist, Pediatric Dentistry | 1223P0221X | 24260 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Richardson
- 1053883447
- 1043706435
- 1194377762
- 1992158349
- 1780984922
- 1265768113
- 1699409235
- 1760826598
- 1538385448
- 1841551421
- 1598899825
- 1144844259