Individual provider Active NPI

Jana Saad

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1245930957
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40679 Issued in TX
Practice address
5102 FM 1463 Rd Ste 100
Katy, TX 77494-7871
Phone
(281) 204-2156
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 40679 TX Primary

Addresses

Primary practice location

5102 FM 1463 Rd Ste 100
Katy, TX 77494-7871

Mailing address

12310 Honeywood TRL
Houston, TX 77077-2426
Phone (713) 449-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815001283 TX Order and Referring Only - DentistPractitioner - Dentist 7315446523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40679TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fulshear Modern Dentistry,PC PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1245930957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 HONEYWOOD TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772426",
            "telephone_number": "713-449-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 FM 1463 RD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947871",
            "telephone_number": "281-204-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "JANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.