Raven Landry, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41928 Issued in TX

Practice address

10763 Eastex Fwy
Houston, TX 77093-4301

Phone

(281) 501-2060

NPI assigned

Aug 21, 2025

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brace Face, PLLC

  dba Fresh Ortho Care

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
  • NPI 1134637549
  NPD (past)

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1194603928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N SAM HOUSTON PKWY E APT 8102",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964608",
            "telephone_number": "832-257-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10763 EASTEX FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770934301",
            "telephone_number": "281-501-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10761 Gulf Fwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770341857",
            "country_code": "US",
            "telephone_number": "281-301-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "RAVEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Marie Landry, SLP-ASSISTANT
• Lyric Reign Landry, LMT
• Mary Catherine Landry
• Melisa Landry, PNP
• Phillip Gerard Landry, LPC
• Robin Landry, PA-C
• Susan Landry, PH.D.
• Tiffany Landry
• Victoria Anne Landry, ANP
• Sarah Lands

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.