Active NPI
Nabiya Dental, PLLC
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1104154640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NABIYA DENTAL, PLLC
- Practice address
- 8514 Bellaire Blvd
Houston, TX 77036-4704 - Phone
- (713) 779-6900
- NPI assigned
- Nov 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Kim, DDS
- Title
- President
- Phone
- (713) 668-3677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
8514 Bellaire Blvd
Houston, TX 77036-4704
Mailing address
8514 Bellaire Blvd
San Antonio, TX 77036-4704
Phone (713) 779-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174491401 | Medicaid | TX |
Other names 1
- eko Dental
National Provider Directory
National Provider Directory- Tax ID family
- Eko Dental
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Bellaire, TX
- NPI 1235379983
-
- General Practice Dentistry
- Houston, TX
- NPI 1306173117
Locations
8514 Bellaire Blvd
Houston, TX 77036
Phone (713) 779-6900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258675200000",
"number": "1104154640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 BELLAIRE BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "770364704",
"telephone_number": "713-779-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8514 BELLAIRE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770364704",
"telephone_number": "713-779-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NABIYA DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-668-3677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174491401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "eko Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.