MITRA NIKPOUR DDS
NPI 1356085336
Dentist - General Practice in Tyler, TX

Active since April 25, 2022
4164 S BROADWAY AVE # 822, TYLER, TX 75701(626) 222-2427 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2023, Sep 13, 2022, Apr 25, 2022 (3 updates tracked since 2022).

About Mitra Nikpour Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITRA NIKPOUR DDS (NPI 1356085336) is an individual general practice provider in Tyler, Texas, licensed in Texas (39056) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1356085336
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMITRA NIKPOURCredential: DDS
Location Address4164 S BROADWAY AVE # 822Tyler, TX 75701-8719
Mailing Address4164 S Broadway AveTyler, TX 75701-8719 · (903) 939-0703
Sole ProprietorYes
Enumeration DateApril 25, 2022
Last NPPES UpdateAugust 14, 20233 updates tracked since enumeration
NPPES CertifiedAugust 12, 2023
NPI 1356085336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 39056
Definition

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.

4164 S BROADWAY AVE # 822, Tyler, TX 75701

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitra Nikpour's NPI number?

The NPI number for Mitra Nikpour is 1356085336. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Mitra Nikpour located?

Mitra Nikpour practices at 4164 S Broadway Ave # 822, Tyler, TX 75701. The listed phone number is (626) 222-2427.

What is Mitra Nikpour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mitra Nikpour accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 20 other insurers list Mitra Nikpour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitra Nikpour was last updated on August 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.