Organization Active NPI

Nabiya Dental PLLC

  • General Practice Dentistry
  • Bellaire, TX
National Provider Identifier
1235379983
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0022390 Issued in TX
Legal business name
NABIYA DENTAL PLLC
Practice address
5212 Cedar St
Bellaire, TX 77401-3915
Phone
(713) 668-3677
Fax
(713) 661-2597
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Kevin Kim, D.D.S.
Title
President
Phone
(713) 779-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0022390 TX Primary

Addresses

Primary practice location

5212 Cedar St
Bellaire, TX 77401-3915

Mailing address

5212 Cedar St
Bellaire, TX 77401-3915
Phone (713) 668-3677

Other identifiers 1

IdentifierTypeStateIssuer
174491401MedicaidTX

Other names 1

  • Eko Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eko Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1235379983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-668-3677",
            "fax_number": "713-661-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 CEDAR ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013915",
            "telephone_number": "713-668-3677",
            "fax_number": "713-661-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABIYA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-779-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0022390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174491401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eko Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.