Organization Active NPI

Denta Care PLLC

  • General Practice Dentistry
  • Pearland, TX
National Provider Identifier
1205574357
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTA CARE PLLC
Practice address
15818 South Fwy Ste 140
Pearland, TX 77584-1821
Phone
(832) 810-8485
Fax
(713) 352-2985
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Ivette Dominguez Crespo, DMDNPI 1457706590
Title
Dentist
Phone
(832) 810-8485

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15818 South Fwy Ste 140
Pearland, TX 77584-1821

Mailing address

15818 South Fwy Ste 140
Pearland, TX 77584-1821
Phone (832) 810-8485

National Provider Directory

National Provider Directory

Locations

15818 South Fwy
Ste 140
Pearland, TX 77584
Phone (832) 810-8485

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": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1205574357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15818 SOUTH FWY STE 140",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841821",
            "telephone_number": "832-810-8485",
            "fax_number": "713-352-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15818 SOUTH FWY STE 140",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841821",
            "telephone_number": "832-810-8485",
            "fax_number": "713-352-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTA CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ CRESPO",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-810-8485",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.