Organization Active NPI

Logos Dental, PLLC

  • Dentist
  • Houston, TX
National Provider Identifier
1003700154
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LOGOS DENTAL, PLLC
Practice address
4145 Gessner Rd Ste E
Houston, TX 77080-2570
Phone
(346) 291-5944
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Maged ShokrallaNPI 1265945703
Title
Dentist
Phone
(346) 291-5944

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4145 Gessner Rd Ste E
Houston, TX 77080-2570

Mailing address

4145 Gessner Rd Ste E
Houston, TX 77080-2570
Phone (346) 291-5944

National Provider Directory

National Provider Directory

Locations

4145 Gessner Rd
Ste E
Houston, TX 77080
Phone (346) 291-5944

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": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1003700154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 GESSNER RD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802570",
            "telephone_number": "346-291-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 GESSNER RD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802570",
            "telephone_number": "346-291-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "SHOKRALLA",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "346-291-5944"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 4, 2025; 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.