Organization Active NPI

Dental Land

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1235472416
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24910 Issued in TX
Legal business name
DENTAL LAND
Practice address
3514 Burke Rd
Suite 100
Pasadena, TX 77504
Phone
(832) 831-2301
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Dr. Iran Hosseini, DDS
Title
Dentist
Phone
(832) 831-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24910 TX Primary

Addresses

Primary practice location

3514 Burke Rd
Suite 100
Pasadena, TX 77504

Mailing address

3514 Burke Rd
Pasadena, TX 77504
Phone (832) 831-2301

Other identifiers 1

IdentifierTypeStateIssuer
206191301MedicaidTX

National Provider Directory

National Provider Directory

Locations

3514 Burke Rd
Ste 100
Pasadena, TX 77504
Phone (832) 831-2301

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1235472416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 BURKE RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "832-831-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 BURKE RD",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "832-831-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL LAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "HOSSEINI",
        "authorized_official_first_name": "IRAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-831-2301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206191301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.