Iesous Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IESOUS DENTAL PLLC

Practice address

13442 Bellaire Blvd Ste D
Houston, TX 77083-2641

Phone

(832) 232-5353

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Veronica Gracia

Title

Office Manager

Phone

(346) 354-3505

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• hyatt dental bellaire Doing business as

Practitioners 2

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

• Amir Elsakr, D.M.D.

  • Dentist
  • Baytown, TX
  • NPI 1255684999
  NPD
• Zamzam Abbas, DMD

  • General Practice Dentistry
  • Wildwood, FL
  • NPI 1437704913
  NPD

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1154044162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13442 BELLAIRE BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832641",
            "telephone_number": "832-232-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13442 BELLAIRE BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832641",
            "telephone_number": "832-232-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IESOUS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "346-354-3505"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307467606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hyatt dental bellaire",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "hyatt dental bellaire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Temitope Idowu
• Olajumoke Idayat Idris, MD
• Ramlat Idris, PA
• Maisa M Idriss, DMD
• Osaze Idumwonyi
• Susie Ifah, LCSW, CCM
• Kene-Chukwu Chukwuma Ifeagwu
• Ifeyinwa Chinyelu Ifeanyi, M.D.
• Tania Ijeoma Ifeanyi, M.D.
• Maureen U Ifeayi

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.