Individual provider Active NPI

Nader Kreit, D.D.S.

  • General Practice Dentistry
  • Livingston, TX
National Provider Identifier
1063520898
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18352 Issued in TX
Practice address
117 Southpoint Loop Ste 400
Livingston, TX 77351-8899
Phone
(936) 327-9490
Fax
(936) 327-9496
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18352 TX Primary

Addresses

Primary practice location

117 Southpoint Loop Ste 400
Livingston, TX 77351-8899

Mailing address

PO Box 1816
Cleveland, TX 77328-1816
Phone (936) 327-9490

Other identifiers 2

IdentifierTypeStateIssuer
760522756OtherTXTAX ID
1207888-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18352TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kaldan Inc General Practice Current Accepting new patients
Kreit Dental PLLC CurrentSince Nov 20, 2022 Accepting new patients
Nader Kreit DDS PLLC General Practice PastSince Jan 17, 2022 Accepting new patients

Locations

23812 Highway 59 N
Kingwood, TX 77339
Phone (346) 616-5897

117 Southpoint Loop
Ste 400
Livingston, TX 77351
Phone (936) 327-9490

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1063520898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1816",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773281816",
            "telephone_number": "936-327-9490",
            "fax_number": "936-327-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SOUTHPOINT LOOP STE 400",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518899",
            "telephone_number": "936-327-9490",
            "fax_number": "936-327-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIT",
        "first_name": "NADER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760522756",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1207888-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.