Active NPI
Homestead Dental, P.C
- Dentist
- Houston, TX
National Provider Identifier
1023372745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4424956 | Other | TX | KINTANA MEDICAID NUMBER |
Other names 1
- AFFORDABLE DENTAL NORTH HOUSTON
National Provider Directory
National Provider DirectoryNPI 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.