Vertex Dental One, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VERTEX DENTAL ONE, PC

Doing business as

Park West Dental

Practice address

13180 Westpark Dr Ste 106
Houston, TX 77082-4936

Phone

(281) 944-4566

Fax

(281) 944-4566

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Brian Passell

Title

Director

Phone

(281) 686-4550

Specialties & licenses 1

Addresses

Other names 1

• Park West Dental Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1093467128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13180 WESTPARK DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770824936",
            "telephone_number": "281-944-4566",
            "fax_number": "281-944-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 WESTPARK DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770824936",
            "telephone_number": "281-944-4566",
            "fax_number": "281-944-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTEX DENTAL ONE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "PASSELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-686-4550"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "parkwestdentist.com",
            "affiliation": "N",
            "endpointDescription": "webiste",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13180 Westpark Dr Ste 106",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770824936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Park West Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park West Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Srdan Verstovsek, M.D., PHD
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• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.