Eado Family Dental - Northside PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EADO FAMILY DENTAL - NORTHSIDE PLLC

Doing business as

EaDo Family Dental - Northside

Practice address

1102 Pinemont Dr Ste I
Houston, TX 77018-1323

Phone

(917) 331-3281

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Wilson MaNPI 1609130806

Title

Owner

Phone

(917) 331-3281

Specialties & licenses 1

Addresses

Other names 1

• EaDo Family Dental - Northside Doing business as

Locations

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.

• John W Ma, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1609130806
  NPD Authorized official

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1023831310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 CLAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034516",
            "telephone_number": "917-331-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 PINEMONT DR STE I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770181323",
            "telephone_number": "917-331-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EADO FAMILY DENTAL - NORTHSIDE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-331-3281",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EaDo Family Dental - Northside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• E3 Mediserve LLC (Ethree Medical Services)
• Ea Sterling Care, Inc.
• Hanna Charles Eadeh, M.D.
• Dawn Rochelle Eaden, M.ED., LPC, LCDCI
• Eado Eye Studio, PLLC
• Eado Family Dental PLLC (EaDo Family Dental)
• Eado Optics, PLLC
• Janice Goodison Eads, MSN, AGACNP-BC
• Sabrina Jasmyne Eads, LPC
• Hannah Eady

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.