Memorial Dental Associates PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MEMORIAL DENTAL ASSOCIATES PLLC

Practice address

11451 Katy Fwy Ste 105
Houston, TX 77079-2008

Phone

(713) 465-8239

NPI assigned

Dec 10, 2019

Last updated

Dec 12, 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

Mrs. Neha Joshi

Title

Credentialing Specialist

Phone

(281) 899-0094

Specialties & licenses 2

Addresses

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.

• Syed Khalid, DDS, MS

  • Periodontics
  • Baytown, TX
  • NPI 1346405883

  General Practice

  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1043857931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11451 KATY FWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 KATY FWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792008",
            "telephone_number": "713-465-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "281-899-0094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial City Tso, P.C. (Memorial City Texas State Optical)
• Memorial Clinical Associates, P.a.
• Memorial Comprehensive Counseling, LLC
• Memorial Country Place Inc.
• Memorial Dental Associates
• Memorial Dental Care, PLLC (Memorial Dental Care)
• Memorial Dentistry for Kids PLLC
• Memorial Dentists, PC
• Memorial Dialysis Center LP (Memorial Dialysis Center)
• Memorial Electrodiagnostics, LLC

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.