Individual provider Active NPI

Tony Portelles, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1023707387
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40412 Issued in TX
Practice address
5264 Beechnut St
Houston, TX 77096-1302
Phone
(713) 981-4600
NPI assigned
May 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40412 TX Primary

Addresses

Primary practice location

5264 Beechnut St
Houston, TX 77096-1302

Mailing address

5264 Beechnut St
Houston, TX 77096-1302
Phone (713) 981-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40412TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cryptodental PLLC CurrentSince Jul 22, 2025 Accepting new patients
Brite Dental 59 Pulaski, P.C PastSince May 1, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1023707387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5264 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961302",
            "telephone_number": "713-981-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5264 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961302",
            "telephone_number": "713-981-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELLES",
        "first_name": "TONY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40412",
            "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 May 22, 2026; 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.