Organization Active NPI

Fort Bend Dental Aliana, PLLC

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1255190377
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FORT BEND DENTAL ALIANA, PLLC
Doing business as
Fort Bend Dental Aliana, PLLC
Practice address
16647 W Airport Blvd
Sugar Land, TX 77498-5088
Phone
(281) 524-3575
Fax
(281) 605-5956
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dwight D Peccora, DDSNPI 1124330782
Title
Doctor/ Managing Partner
Phone
(281) 499-3541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16647 W Airport Blvd
Sugar Land, TX 77498-5088

Mailing address

16647 W Airport Blvd
Sugar Land, TX 77498-5088
Phone (281) 524-3575

Other names 1

  • Fort Bend Dental Aliana, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fort Bend Dental Aliana PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16647 W Airport Blvd
Sugar Land, TX 77498
Phone (281) 325-0024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1255190377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16647 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985088",
            "telephone_number": "281-524-3575",
            "fax_number": "281-605-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16647 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985088",
            "telephone_number": "281-524-3575",
            "fax_number": "281-605-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND DENTAL ALIANA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PECCORA",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR/ MANAGING PARTNER",
        "authorized_official_telephone_number": "281-499-3541",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Bend Dental Aliana, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.