Active NPI
M H Peters Jr DDS Inc
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1164546859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10881
- Legal business name
- M H PETERS JR DDS INC
- Practice address
- 2508 Bay Area Blvd. Suite 100
Houston, TX 77058 - Phone
- (281) 486-8061
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manfed Henry Peters Jr., D.D.S.
- Title
- Owner
- Phone
- (281) 486-8061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10881 | TX | Primary |
Addresses
Primary practice location
2508 Bay Area Blvd. Suite 100
Houston, TX 77058
Mailing address
2508 Bay Area Blvd. Suite 100
Houston, TX 77058
Phone (281) 486-8061
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89D682 | Other | TX | BCBS OF TEXAS |
| B10881-01 | Other | TX | TEXAS CHIPS PROGRAM |
Other names 1
- Peters Dental Associates
National Provider Directory
National Provider DirectoryLocations
2508 Bay Area Blvd
Ste 100
Houston, TX 77058
Phone (281) 486-8061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Houston, TX
- NPI 1205919479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164546859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 BAY AREA BLVD. SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77058",
"telephone_number": "281-486-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 BAY AREA BLVD. SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77058",
"telephone_number": "281-486-8061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M H PETERS JR DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "MANFED",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-486-8061",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "10881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "89D682",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS CHIPS PROGRAM",
"identifier": "B10881-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peters Dental Associates",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.