Organization Active NPI

SLC Dental, PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1194454520
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SLC DENTAL, PLLC
Practice address
3201 N Shepherd Dr
Suite 113
Houston, TX 77018
Phone
(832) 916-4144
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Katia Rodriguez
Title
Manager
Phone
(832) 930-7748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3201 N Shepherd Dr
Suite 113
Houston, TX 77018

Mailing address

3201 N Shepherd Dr
Suite 113
Houston, TX 77018

Other names 1

  • NU Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3201 N Shepherd Dr
Ste 113
Houston, TX 77018
Phone (832) 916-4144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1194454520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N SHEPHERD DR",
            "address_2": "SUITE 113",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N SHEPHERD DR",
            "address_2": "SUITE 113",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "832-916-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KATIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-930-7748"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NU Dentistry",
            "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 12, 2024; 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.