Organization Active NPI

Mission Dentistry Group

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1184816373
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19092 Issued in TX
Legal business name
MISSION DENTISTRY GROUP
Practice address
6440 Hillcroft St
Suite 200
Houston, TX 77081-3192
Phone
(713) 554-0453
Fax
(713) 554-0456
NPI assigned
Aug 13, 2007
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Aida Covic
Title
Director
Phone
(713) 554-0453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19092 TX Primary

Addresses

Primary practice location

6440 Hillcroft St
Suite 200
Houston, TX 77081-3192

Mailing address

6440 Hillcroft St
Suite 200
Houston, TX 77081-3192
Phone (713) 554-0453

National Provider Directory

National Provider Directory

Locations

6440 Hillcroft Ave
Apt 200
Houston, TX 77081
Phone (713) 554-0453

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1184816373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 HILLCROFT ST",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813192",
            "telephone_number": "713-554-0453",
            "fax_number": "713-554-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 HILLCROFT ST",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813192",
            "telephone_number": "713-554-0453",
            "fax_number": "713-554-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION DENTISTRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "COVIC",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-554-0453"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19092",
            "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 Aug 18, 2008; 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.