Organization Active NPI

Splendora Dental PLLC

  • Dentist
  • Splendora, TX
National Provider Identifier
1043624653
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SPLENDORA DENTAL PLLC
Practice address
13825 Highway 59
Suite C
Splendora, TX 77372-4836
Phone
(281) 689-8000
Fax
(409) 232-0550
NPI assigned
Jun 12, 2014
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Geetika Rastogi
Title
Owner
Phone
(832) 369-6941

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

13825 Highway 59
Suite C
Splendora, TX 77372-4836

Mailing address

3838 N Sam Houston Pkwy E Ste 430
Houston, TX 77032-3418
Phone (832) 369-6941

National Provider Directory

National Provider Directory

Locations

13825 Highway 59
Ste C
Splendora, TX 77372
Phone (281) 689-8000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1043624653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N SAM HOUSTON PKWY E STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323418",
            "telephone_number": "832-369-6941",
            "fax_number": "409-232-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 HIGHWAY 59",
            "address_2": "SUITE C",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773724836",
            "telephone_number": "281-689-8000",
            "fax_number": "409-232-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLENDORA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "GEETIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-369-6941",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Splendora, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.