Organization Active NPI

Elegant Dental Richmond, PLLC

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1053180778
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELEGANT DENTAL RICHMOND, PLLC
Practice address
5614 W Grand Pkwy S Ste 120
Richmond, TX 77406-5820
Phone
(918) 280-8309
NPI assigned
Dec 21, 2023
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ELEGANT DENTAL SOLUTIONS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Dr. Moiz U Horani, DDSNPI 1093181935
Title
Owner Dentist
Phone
(918) 280-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5614 W Grand Pkwy S Ste 120
Richmond, TX 77406-5820

Mailing address

1023 Williams Lake Dr
Richmond, TX 77469-4295
Phone (310) 709-3734

National Provider Directory

National Provider Directory
Part of
Elegant Dental Solutions PLLC

Locations

5614 W Grand Pkwy S
Ste 120
Richmond, TX 77406
Phone (310) 909-3870

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1053180778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WILLIAMS LAKE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694295",
            "telephone_number": "310-709-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 W GRAND PKWY S STE 120",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065820",
            "telephone_number": "918-280-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT DENTAL RICHMOND, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEGANT DENTAL SOLUTIONS, PLLC",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "HORANI",
        "authorized_official_first_name": "MOIZ",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "918-280-8309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.