Wave Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29365 Issued in TX

Legal business name

WAVE DENTAL

Practice address

1427 Wilcrest Dr
Houston, TX 77042-2227

Phone

(281) 888-1150

NPI assigned

Nov 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ayham Nahhas, D.D.S.

Title

General Dentist

Phone

(713) 459-8782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416614400000",
    "number": "1023415890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422227",
            "telephone_number": "281-888-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422227",
            "telephone_number": "281-888-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-22",
        "last_updated": "2014-11-22",
        "status": "A",
        "authorized_official_last_name": "NAHHAS",
        "authorized_official_first_name": "AYHAM",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "713-459-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Houston, TX
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• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; 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.