NPIMap

Organization Active NPI

The Woodlands Prosthodontics P.a.

  • Prosthodontics
  • Shenandoah, TX
National Provider Identifier
1114449634
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
32258 Issued in TX
Legal business name
THE WOODLANDS PROSTHODONTICS P.A.
Practice address
150 Pine Forest Dr Ste 111
Shenandoah, TX 77384-5303
Phone
(832) 966-0400
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Vaibhav Latthe, B.D.S.,M.D.S., C.D.TNPI 1497105068
Title
President
Phone
(713) 360-8448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 32258 TX Primary

Addresses

Primary practice location

150 Pine Forest Dr Ste 111
Shenandoah, TX 77384-5303

Mailing address

150 Pine Forest Dr Ste 111
Shenandoah, TX 77384-5303
Phone (832) 966-0400

National Provider Directory

National Provider Directory

Locations

150 Pine Forest Dr
Ste 111
Shenandoah, TX 77384
Phone (713) 360-8448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114449634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 111",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "832-966-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 111",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845303",
            "telephone_number": "832-966-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS PROSTHODONTICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LATTHE",
        "authorized_official_first_name": "VAIBHAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-360-8448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S.,M.D.S., C.D.T"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "32258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.