J Enrique Tabarini DDS Ms PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

23794 Issued in TX

Legal business name

J ENRIQUE TABARINI DDS MS PC

Doing business as

Shadow Creek Medical Specialties

Practice address

11233 Shadow Creek Pkwy
Suite 121
Pearland, TX 77584-7345

Phone

(713) 436-0148

Fax

(713) 436-0892

NPI assigned

Jul 26, 2011

Organization subpart

Yes

Parent organization

J ENRIQUE TABARINI DDS MS PCAs reported in NPPES

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

Authorized official

Name

J Enrique Tabarini, DDS, MS

Title

Owner

Phone

(205) 617-6672

Specialties & licenses 1

Addresses

Other names 1

• Shadow Creek Medical Specialties Doing business as

Part of

J Enrique Tabarini DDS Ms PC

Locations

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1104104009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 SHADOW CREEK PKWY",
            "address_2": "SUITE 121",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847345",
            "telephone_number": "713-436-0148",
            "fax_number": "713-436-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11233 SHADOW CREEK PKWY",
            "address_2": "SUITE 121",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847345",
            "telephone_number": "713-436-0148",
            "fax_number": "713-436-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J ENRIQUE TABARINI DDS MS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J ENRIQUE TABARINI DDS MS PC",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "TABARINI",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-617-6672",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "23794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadow Creek Medical Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Pearland, TX
• Providers in Pearland, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.