Organization Active NPI

Lifeline Dental PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1003686148
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFELINE DENTAL PLLC
Practice address
1147 Clear Lake City Blvd
Houston, TX 77062-8102
Phone
(281) 409-3777
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Ayham Nahhas, DDSNPI 1154754307
Title
Co Owner
Phone
(713) 459-8782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1147 Clear Lake City Blvd
Houston, TX 77062-8102

Mailing address

1147 Clear Lake City Blvd
Houston, TX 77062-8102
Phone (281) 409-3777

Other names 1

  • Lifeline Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1003686148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 CLEAR LAKE CITY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770628102",
            "telephone_number": "281-409-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 CLEAR LAKE CITY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770628102",
            "telephone_number": "281-409-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "NAHHAS",
        "authorized_official_first_name": "AYHAM",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "713-459-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.