Organization Active NPI

Sea Smiles Dental & Braces PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1205380441
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28370 Issued in TX
Legal business name
SEA SMILES DENTAL & BRACES PLLC
Practice address
10936 North Fwy
Suite a
Houston, TX 77037-1108
Phone
(713) 766-3352
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Sina Masoudi
Title
Co-Owner
Phone
(713) 766-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 28370 TX Primary

Addresses

Primary practice location

10936 North Fwy
Suite a
Houston, TX 77037-1108

Mailing address

3500 Little York Rd
Suite a-1
Houston, TX 77093-3658

National Provider Directory

National Provider Directory

Locations

10936 North Fwy
Ste A
Houston, TX 77037
Phone (713) 766-3352

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": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1205380441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LITTLE YORK RD",
            "address_2": "SUITE A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770933658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10936 NORTH FWY",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770371108",
            "telephone_number": "713-766-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA SMILES DENTAL & BRACES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "MASOUDI",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "713-766-3352",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 4, 2016; 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.