Organization Active NPI

Gallardo Cosmetic Dental Center PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1114102258
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GALLARDO COSMETIC DENTAL CENTER PA
Practice address
15115 Westheimer Rd
Ste K
Houston, TX 77082
Phone
(281) 920-5858
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Dr. Luis Angel Gallardo, DDS
Title
President
Phone
(281) 920-5858

Specialties & licenses 1

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

Addresses

Primary practice location

15115 Westheimer Rd
Ste K
Houston, TX 77082

Mailing address

15115 Westheimer Rd
Ste K
Houston, TX 77082
Phone (281) 920-5858

National Provider Directory

National Provider Directory

Locations

15115 Westheimer Rd
Ste K
Houston, TX 77082
Phone (281) 920-5858

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1114102258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 WESTHEIMER RD",
            "address_2": "STE K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77082",
            "telephone_number": "281-920-5858",
            "fax_number": "281-920-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 WESTHEIMER RD",
            "address_2": "STE K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77082",
            "telephone_number": "281-920-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLARDO COSMETIC DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-920-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jan 8, 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.