Omega Dentistry Management Group Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

23469 Issued in TX

Legal business name

OMEGA DENTISTRY MANAGEMENT GROUP INC.

Practice address

106 W Gray St
Houston, TX 77019-5509

Phone

(832) 209-2215

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Pedram Bohluli, D.M.D

Title

Owner

Phone

(832) 209-2215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1235547027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195509",
            "telephone_number": "832-209-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W GRAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195509",
            "telephone_number": "832-209-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA DENTISTRY MANAGEMENT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "BOHLULI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-209-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "23469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Omar
• Mohamed Abbas Omar, MD
• Yasmine Omar, PHD
• Ayman Omara, M.D.
• Omega 1 DME LLC
• Omega Home Health Services Inc.
• Omega Rules Professional Nurses PLLC
• Omegalife Hospice of Texas, Inc.
• Theclar Chika Omeh, NP
• Mohammed Omeishi, DMD

• Endodontics in Houston, TX
• Providers in Houston, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.