Organization Active NPI

21St Century Dentistry

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1104092352
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14074 Issued in TX
Legal business name
21ST CENTURY DENTISTRY
Practice address
9630 Clarewood Dr Ste A4
Houston, TX 77036-3535
Phone
(713) 774-1136
Fax
(713) 774-1544
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Wender Jiang, M.S.NPI 1346464047
Title
President
Phone
(713) 774-1136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14074 TX Primary

Addresses

Primary practice location

9630 Clarewood Dr Ste A4
Houston, TX 77036-3535

Mailing address

9630 Clarewood Dr Ste a 4
Houston, TX 77036
Phone (713) 774-1136

National Provider Directory

National Provider Directory

Locations

9630 Clarewood Dr
Ste A4
Houston, TX 77036
Phone (713) 774-1136

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1104092352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "713-774-1136",
            "fax_number": "713-774-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363535",
            "telephone_number": "713-774-1136",
            "fax_number": "713-774-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "WENDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-774-1136",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.