Organization Active NPI

Homestead Dental, P.C

  • Dentist
  • Houston, TX
National Provider Identifier
1023372745
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HOMESTEAD DENTAL, P.C
Practice address
9324 Homestead Rd
Houston, TX 77016-4832
Phone
(281) 501-1196
Fax
(281) 974-3371
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Dr. Kenneth Osamor, D.D.S
Title
President
Phone
(281) 501-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9324 Homestead Rd
Houston, TX 77016-4832

Mailing address

9324 Homestead Rd
Houston, TX 77016-4832
Phone (281) 501-1196

Other identifiers 1

IdentifierTypeStateIssuer
4424956OtherTXKINTANA MEDICAID NUMBER

Other names 1

  • AFFORDABLE DENTAL NORTH HOUSTON Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1023372745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 HOMESTEAD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770164832",
            "telephone_number": "281-501-1196",
            "fax_number": "281-974-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 HOMESTEAD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770164832",
            "telephone_number": "281-501-1196",
            "fax_number": "281-974-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD DENTAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "OSAMOR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-501-1196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KINTANA MEDICAID NUMBER",
            "identifier": "4424956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFORDABLE DENTAL NORTH HOUSTON",
            "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 Jun 27, 2012; 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.