Washington Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17000 Issued in TX

Legal business name

WASHINGTON DENTAL

Practice address

2515 Washington Ave
Houston, TX 77007-6342

Phone

(713) 802-0044

Fax

(713) 802-2162

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mauricio Tovar, D.D.S.NPI 1174669394

Title

Owner

Phone

(713) 802-0044

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mauricio Tovar, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1174669394
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1083750285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 WASHINGTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076342",
            "telephone_number": "713-802-0044",
            "fax_number": "713-802-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 WASHINGTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076342",
            "telephone_number": "713-802-0044",
            "fax_number": "713-802-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-802-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090792502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160126201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Washburn, CRNA
• Michelle E Washburn, LPC
• Nancy Washburn, D.O.
• Sebastian Washburn, LCSW
• Washington Ave Diagnostic Center
• Washington Mobile Dentistry
• Carolyn Clairese Washington-Hunter, BBA
• Aleesha Jenae Washington, LPC-I
• Andrea Johnson Washington
• Arianna Washington

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.