Active NPI
Dental Pavilion, P.C.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1225356744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17986
- Legal business name
- DENTAL PAVILION, P.C.
- Practice address
- 1508 Wirt Rd
Houston, TX 77055 - Phone
- (713) 681-8881
- Fax
- (713) 681-2283
- NPI assigned
- May 7, 2010
- Last updated
- May 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Gonzalez, D.D.S.
- Title
- President
- Phone
- (713) 681-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17986 | TX | Primary |
Addresses
Primary practice location
1508 Wirt Rd
Houston, TX 77055
Mailing address
1508 Wirt Rd
Houston, TX 77055
Phone (713) 681-8881
National Provider Directory
National Provider DirectoryLocations
1508 Wirt Rd
Houston, TX 77055
Phone (713) 681-8881
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Spring, TX
- NPI 1871599845
-
- Dentist
- Houston, TX
- NPI 1770809295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273190400000",
"number": "1225356744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 WIRT RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77055",
"telephone_number": "713-681-8881",
"fax_number": "713-681-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 WIRT RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77055",
"telephone_number": "713-681-8881",
"fax_number": "713-681-2283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PAVILION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-07",
"last_updated": "2010-05-07",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-681-8881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Dental Health Associates of Texas, PC (Northway Dental)
- Dental Health Associates of TX, P.C. (Clear Lake City Dentistry)
- Dental Innovations
- Dental Innovations
- Dental Jean-Pierre Truong DMD PLLC (Janus Dentistry)
- Dental Plus Management
- Dental Professionals of Texas, P.a. (The Dental Center)
- Dental Professionals of Texas, P.a. (Augusta Drive Dental Care)
- Dental Resources PC
- Dental Services Management Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.