Organization Active NPI

Patrick V Nicosia DDS Ms Inc

  • Periodontics
  • Houston, TX
National Provider Identifier
1003901299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
8564 Issued in TX
Legal business name
PATRICK V NICOSIA DDS MS INC
Practice address
7700 San Felipe
Ste 340
Houston, TX 77063-1613
Phone
(713) 781-4072
Fax
(713) 952-4801
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick Vincent Nicosia, DDS MSNPI 1689610404
Title
Owner
Phone
(713) 781-4072

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 8564 TX Primary

Addresses

Primary practice location

7700 San Felipe
Ste 340
Houston, TX 77063-1613

Mailing address

7700 San Felipe
Ste 340
Houston, TX 77063-1613
Phone (713) 781-4072

National Provider Directory

National Provider Directory

Locations

7700 San Felipe St
Ste 340
Houston, TX 77063
Phone (713) 781-4072

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003901299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 SAN FELIPE",
            "address_2": "STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631613",
            "telephone_number": "713-781-4072",
            "fax_number": "713-952-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 SAN FELIPE",
            "address_2": "STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631613",
            "telephone_number": "713-781-4072",
            "fax_number": "713-952-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK V NICOSIA DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICOSIA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-781-4072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "8564",
            "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 Aug 22, 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.