NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Times Square Family Dental PA

General Practice Dentistry in Tyler, TX · enumerated 2013 · authorized official Kaivan Afkhami, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174954424

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Times Square Family Dental PA
Practice address 5201 S Broadway Ave, Suite 240, Tyler, TX, 75703
Phone (903) 534-8110
Fax (903) 534-5510
Enumeration date Dec 11, 2013
Last updated in NPPES Dec 11, 2013

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 20467 (TX) Primary

Authorized official

Name Kaivan Afkhami
Title President
Phone (817) 577-9200

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Times Square Family Dental PA?
Times Square Family Dental PA is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-11.