Sean Edward Fitzgerald, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24542 Issued in TX

Practice address

18700 W Lake Houston Pkwy Ste A107
Humble, TX 77346-3350

Phone

(281) 852-2150

Fax

(281) 852-0356

NPI assigned

Sep 23, 2014

Last updated

Jan 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sean E. Fitzgerald, D.D.S., P.a.

  dba Fitzgerald Family Dental Practice

  • General Practice Dentistry
  • Humble, TX
  • NPI 1063649317
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1003218991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 W LAKE HOUSTON PKWY STE A107",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463350",
            "telephone_number": "281-852-2150",
            "fax_number": "281-852-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 W LAKE HOUSTON PKWY STE A107",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463350",
            "telephone_number": "281-852-2150",
            "fax_number": "281-852-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "SEAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Choice Spine Care, PLLC
• Firstpoint Consult LLC
• Firstpoint Consult LLC
• Jennifer Andreina Fitch, SLP
• Sydney Leigh Fitch, COTA
• Flamboyan Services, LLC (Avant-Garde Center)
• Flashfill Pharmacy
• Antoine Fleming, LCSW, CCM
• Christina Elaine Fleming, COTA
• Jenifer Helen Fletcher

• General Practice Dentistry in Humble, TX
• Providers in Humble, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.