Organization Active NPI

Kempwood Dental, PLLC

  • Dentist
  • Houston, TX
National Provider Identifier
1184276800
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KEMPWOOD DENTAL, PLLC
Practice address
9425A Kempwood Dr
Houston, TX 77080-2838
Phone
(713) 766-3352
NPI assigned
Jul 12, 2019
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Dr. Sina Masoudi, DDSNPI 1619227089
Title
Dentist
Phone
(713) 766-3352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

9425A Kempwood Dr
Houston, TX 77080-2838

Mailing address

9425A Kempwood Dr
Houston, TX 77080-2838
Phone (713) 766-3352

National Provider Directory

National Provider Directory

Locations

9425A Kempwood Dr
Houston, TX 77080
Phone (713) 766-3352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1184276800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425A KEMPWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802838",
            "telephone_number": "713-766-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425A KEMPWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802838",
            "telephone_number": "713-766-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPWOOD DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "MASOUDI",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-766-3352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 2021; 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.