Organization Active NPI

Memorial Dentists, PC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1023368958
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28232 Issued in TX
Legal business name
MEMORIAL DENTISTS, PC
Practice address
14565 Memorial Dr
Houston, TX 77079-5430
Phone
(281) 558-8888
Fax
(281) 558-8368
NPI assigned
Sep 18, 2012
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Dr. Maryam ShariffNPI 1942467535
Title
Owner
Phone
(281) 558-8888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28371 TX
General Practice Dentistry 1223G0001X 28232 TX Primary

Addresses

Primary practice location

14565 Memorial Dr
Houston, TX 77079-5430

Mailing address

14565 Memorial Dr.
Suite 105
Houston, TX 77079-3023
Phone (281) 558-8888

National Provider Directory

National Provider Directory

Locations

1201 N Dairy Ashford Rd
Ste 105
Houston, TX 77079
Phone (281) 558-8888

14565 Memorial Dr
Houston, TX 77079
Phone (281) 558-8888

14565 Memorial Dr
Ste 105
Houston, TX 77079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1023368958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14565 MEMORIAL DR.",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793023",
            "telephone_number": "281-558-8888",
            "fax_number": "281-558-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14565 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795430",
            "telephone_number": "281-558-8888",
            "fax_number": "281-558-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL DENTISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "SHARIFF",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-558-8888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28371",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28232",
            "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 Mar 5, 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.