NPIMap

Organization Active NPI

St. Hope Foundation, Inc - Dental

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1134636640
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27727 Issued in TX
Legal business name
ST. HOPE FOUNDATION, INC - DENTAL
Practice address
1414 S Frazier St
Conroe, TX 77301-4453
Phone
(936) 494-6300
Fax
(713) 844-8034
NPI assigned
Jan 5, 2018
Organization subpart
Yes
Parent organization
ST. HOPE FOUNDATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Rodney Neil Goodie
Title
Ceo
Phone
(713) 778-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 27727 TX Primary

Addresses

Primary practice location

1414 S Frazier St
Conroe, TX 77301-4453

Mailing address

6200 Savoy Dr Ste 540
Houston, TX 77036-3338
Phone (713) 778-1300

National Provider Directory

National Provider Directory
Tax ID family
St Hope Pharmacy16 organizations share this tax ID, including this one
Part of
St Hope Pharmacy

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

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": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1134636640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SAVOY DR STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363338",
            "telephone_number": "713-778-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S FRAZIER ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014453",
            "telephone_number": "936-494-6300",
            "fax_number": "713-844-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. HOPE FOUNDATION, INC - DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. HOPE FOUNDATION, INC",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "GOODIE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-778-1300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.