Blessed Dental Specialists PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BLESSED DENTAL SPECIALISTS PLLC

Doing business as

Shark Orthodontics and Pediatric Dentistry

Practice address

1355 E League City Pkwy Ste 500
League City, TX 77573-7096

Phone

(346) 358-3592

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shariq Khan, DDSNPI 1366050700

Title

Orthodontist

Phone

(443) 570-4055

Specialties & licenses 1

Addresses

Other names 1

• Shark Orthodontics and Pediatric Dentistry Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shariq Khan

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • League City, TX
  • NPI 1366050700
  NPD Authorized official
• Marlene Ramos, D.M.D.

  • Dentist
  • League City, TX
  • NPI 1528035615
  NPD (past)

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1023847902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 E LEAGUE CITY PKWY STE 500",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737096",
            "telephone_number": "346-358-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E LEAGUE CITY PKWY STE 500",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737096",
            "telephone_number": "346-358-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED DENTAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHARIQ",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "443-570-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shark Orthodontics and Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Noah Blackwell
• Kerri Lyn Blackwood
• James Robert Bluhm, PT
• Bocaccio Inpatient Services PLLC
• Hilma Peiso Bochantin, FNP
• Brooke Elizabeth Bock, R.D.H.
• Body Logic Incorporated

• Pediatric Dentistry in League City, TX
• Providers in League City, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.