Well Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19674 Issued in TX

Legal business name

WELL DENTAL GROUP

Practice address

2304 Tidwell Rd
Houston, TX 77093-6731

Phone

(832) 377-3030

NPI assigned

Jun 20, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Farhad Shirazian, D.D.S

Title

Owner

Phone

(281) 804-3838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1164785622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770936731",
            "telephone_number": "832-377-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770936731",
            "telephone_number": "832-377-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "SHIRAZIAN",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-804-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanah Weldon
• Marla E Weldon, PA-C
• Victoria Martin Weldon, M.D., M.P.H.
• Dallas Welka
• Well Able Life Empowerment Center
• Well Deserved Wellness, LLC
• Well Health Medical Clinic , PA
• Well Life Counseling PLLC
• Well Rested Diagnostics
• Well Spring Family Counseling Center

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.