Cosmopolitan Dentistry Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COSMOPOLITAN DENTISTRY INC

Practice address

11930 Broadway St # 130
Pearland, TX 77584-8448

Phone

(281) 857-6321

Fax

(281) 857-6322

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Allouch, DMDNPI 1689232969

Title

Director

Phone

(281) 857-6321

Specialties & licenses 1

Addresses

Other names 1

• Broadway Dental of Pearland Doing business as

Locations

Practitioners 1

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

• Andrew Allouch, DMD

  • Dentist
  • Pearland, TX
  • NPI 1689232969
  NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1194490847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 BROADWAY ST STE 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848448",
            "telephone_number": "281-857-6321",
            "fax_number": "281-857-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 BROADWAY ST # 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848448",
            "telephone_number": "281-857-6321",
            "fax_number": "281-857-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "ALLOUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-857-6321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Dental of Pearland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broadway Dental of Pearland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelemiah Cornelius
• Cornerstone Family Resource Center
• Daniel Coronado, PHARMACIST
• Edward James Cortes
• Isabelle Cortinas
• Tiffany Cossey, M.D.
• Daniela M Costa, PH.D.
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Dental Clinic/Center in Pearland, TX
• Providers in Pearland, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.