Organization Active NPI

Summit Dental Center LP

  • Dentist
  • Houston, TX
National Provider Identifier
1245487073
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUMMIT DENTAL CENTER LP
Practice address
12626 Woodforest Blvd
Suite #3
Houston, TX 77015-3425
Phone
(713) 590-0999
NPI assigned
Aug 22, 2008
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Mr. William Gomez
Title
Owner
Phone
(832) 673-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12626 Woodforest Blvd
Suite #3
Houston, TX 77015-3425

Mailing address

5225 Katy Fwy
Suite #104
Houston, TX 77007-2264
Phone (832) 673-0999

National Provider Directory

National Provider Directory
Tax ID family
Summit Dental Center LP12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1245487073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 KATY FWY",
            "address_2": "SUITE #104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072264",
            "telephone_number": "832-673-0999",
            "fax_number": "281-657-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 WOODFOREST BLVD",
            "address_2": "SUITE #3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153425",
            "telephone_number": "713-590-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-673-0999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Aug 22, 2008; 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.