The Dentists at Creekside PA

Primary specialty

DentistTaxonomy code 122300000X

License

28997 Issued in TX

Legal business name

THE DENTISTS AT CREEKSIDE PA

Practice address

25450 Kuykendahl Road
100
Tomball, TX 77375

Phone

(832) 783-9129

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Afshari, DDS

Title

Owner

Phone

(832) 582-4566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1194139279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25450 KUYKENDAHL ROAD",
            "address_2": "100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25450 KUYKENDAHL ROAD",
            "address_2": "100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "832-783-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTISTS AT CREEKSIDE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "AFSHARI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-582-4566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas One Lab Holdings, LLC
• Texas Orthopaedic & Sports Medicine
• Texas Pain Professionals, PLLC
• Texas Telemed One Medical Group, PLLC
• TH3 Exp3Rience LLC
• The Grief Refuge PLLC
• The Heart of Texas Residential Care
• The Home Health Store of Tomball, Inc. (Home Health Store)
• The Home Healthstore of Tomball
• The Ivory Path Collective PLLC

• Dentist in Tomball, TX
• Providers in Tomball, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.