NPIMap

Organization Active NPI

Louetta Dental Professionals

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1104036268
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11919 Issued in TX
Legal business name
LOUETTA DENTAL PROFESSIONALS
Practice address
1811 Louetta Rd
Spring, TX 77388-4731
Phone
(281) 350-1600
Fax
(281) 350-4562
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. John P Montgomery, DDS
Title
President
Phone
(281) 350-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11919 TX Primary

Addresses

Primary practice location

1811 Louetta Rd
Spring, TX 77388-4731

Mailing address

1811 Louetta Rd
Spring, TX 77388-4731
Phone (281) 350-1600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1104036268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884731",
            "telephone_number": "281-350-1600",
            "fax_number": "281-350-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884731",
            "telephone_number": "281-350-1600",
            "fax_number": "281-350-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUETTA DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-350-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.