Individual provider Active NPI

Adriana Marcela Henao Casas, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1225737901
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40615 Issued in TX
Practice address
9889 Bellaire Blvd Ste 330
Houston, TX 77036-3585
Phone
(713) 272-9800
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40615 TX Primary

Addresses

Primary practice location

9889 Bellaire Blvd Ste 330
Houston, TX 77036-3585

Mailing address

4223 H St
Houston, TX 77072-5380
Phone (832) 908-7496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40615TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1225737901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 H ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725380",
            "telephone_number": "832-908-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 BELLAIRE BLVD STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363585",
            "telephone_number": "713-272-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAO CASAS",
        "first_name": "ADRIANA",
        "middle_name": "MARCELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40615",
            "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 Jun 19, 2024; 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.