Pristine Birth & Wellness Center LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PRISTINE BIRTH & WELLNESS CENTER LLC

Practice address

6617 FM 2920 Rd Ste 200
Spring, TX 77379-2636

Phone

(281) 206-4496

Fax

(281) 206-4487

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Iyabode OgunladeNPI 1366679573

Title

Owner

Phone

(281) 206-4496

Specialties & licenses 2

Addresses

Other names 1

• Pristine Birth and Wellness - Professional Group Other name

Locations

Practitioners 1

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

• Iyabode Munirat Ogunlade, M.D.

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1366679573
  NPD (past) Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1215446497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 HARGRAVE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703829",
            "telephone_number": "281-206-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 FM 2920 RD STE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792636",
            "telephone_number": "281-206-4496",
            "fax_number": "281-206-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE BIRTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "OGUNLADE",
        "authorized_official_first_name": "IYABODE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-206-4496"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine Birth and Wellness - Professional Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.