Organization Active NPI

Mona Pediatric Dentist, PLLC

Doing business as Mona Dental For Kids

  • Pediatric Dentistry
  • Spring, TX
National Provider Identifier
1043648181
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
28946 Issued in TX
Legal business name
MONA PEDIATRIC DENTIST, PLLC
Doing business as
Mona Dental For Kids
Practice address
20920 Kuykendahl Rd
Suite E
Spring, TX 77379-3378
Phone
(832) 617-1111
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mona Houshiar, DDS
Title
Pediatric Dentist
Phone
(310) 994-7567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 28946 TX Primary

Addresses

Primary practice location

20920 Kuykendahl Rd
Suite E
Spring, TX 77379-3378

Mailing address

20920 Kuykendahl Rd
Suite E
Spring, TX 77379-3378
Phone (832) 617-1111

Other names 1

  • Mona Dental For Kids Doing business as

National Provider Directory

National Provider Directory

Locations

20920 Kuykendahl Rd
Ste E
Spring, TX 77379
Phone (832) 617-1111

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1043648181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20920 KUYKENDAHL RD",
            "address_2": "SUITE E",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793378",
            "telephone_number": "832-617-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20920 KUYKENDAHL RD",
            "address_2": "SUITE E",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793378",
            "telephone_number": "832-617-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA PEDIATRIC DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "HOUSHIAR",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "310-994-7567",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mona Dental For Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.