Tidwell Dental and Orthodontics PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TIDWELL DENTAL AND ORTHODONTICS PLLC

Practice address

5422 North Fwy
Houston, TX 77076-4701

Phone

(817) 529-8151

NPI assigned

Oct 17, 2019

Last updated

Oct 17, 2019By 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

Saam Zarrabi

Title

Owner

Phone

(817) 529-8151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1033752480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764701",
            "telephone_number": "817-529-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDWELL DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "ZARRABI",
        "authorized_official_first_name": "SAAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-529-8151"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Brianna Ticas
• Lourdes Regina Ticas, APRN, FNP-BC
• Norma Ticas, OTR
• Tid Dental PLLC
• Eric Tidline
• Tidwell Hospitalist Services, PA
• Tidwell Profession Pharmacy Inc
• Tidwell Smiles PLLC
• Anna Caroline Tidwell, COTA
• Jenai Tidwell, LPC-S

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.