Organization Active NPI

Dentistry of Kingwood, PLLC

  • Dental Clinic/Center
  • Kingwood, TX
National Provider Identifier
1194476556
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTISTRY OF KINGWOOD, PLLC
Practice address
1520 Green Oak PL Ste B
Kingwood, TX 77339-2489
Phone
(281) 358-2191
Fax
(281) 358-0417
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Dr. Pierre Mina Ghattas, DDSNPI 1598887838
Title
Owner/Partner
Phone
(281) 358-2191

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1520 Green Oak PL Ste B
Kingwood, TX 77339-2489

Mailing address

1520 Green Oak PL Ste B
Kingwood, TX 77339-2489
Phone (281) 358-2191

National Provider Directory

National Provider Directory

Locations

1520 Green Oak Pl
Ste B
Kingwood, TX 77339
Phone (281) 358-2191

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": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1194476556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 GREEN OAK PL STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392489",
            "telephone_number": "281-358-2191",
            "fax_number": "281-358-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 GREEN OAK PL STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392489",
            "telephone_number": "281-358-2191",
            "fax_number": "281-358-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF KINGWOOD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "MINA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "281-358-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.