Cleveland Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CLEVELAND DENTAL PLLC

Practice address

1214 E Houston St
Cleveland, TX 77327-4754

Phone

(281) 520-2150

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Luis Ortega, DMD

Title

Owner

Phone

(281) 520-2150

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1124869342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 ADAGIO AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770402536",
            "telephone_number": "281-520-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E HOUSTON ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274754",
            "telephone_number": "281-520-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-520-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891308433",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Chisem
• Shaneika Nicole Citizen, CNA
• City of Cleveland
• Carla Andrea Claros, APRN
• Cleveland Clinic Corp
• Cleveland Diagnostic Center PA
• Cleveland Emergency Group PA
• Cleveland General Hospital LLC
• Cleveland Imaging and Surgical Hospital, L.L.C.
• Cleveland Independent School District

• All providers in Cleveland, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.