NPIMap

Individual provider Active NPI

Gabriela Mercedes Reinholtz, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1255580957
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24823 Issued in TX
Practice address
12035 Bammel North Houston Rd
Suite B
Houston, TX 77066-4703
Phone
(832) 286-1014
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24823 TX Primary
Dentist 122300000X 019.027621 IL
Dentist 122300000X DN013802 GA

Addresses

Primary practice location

12035 Bammel North Houston Rd
Suite B
Houston, TX 77066-4703

Mailing address

12035 Bammel North Houston Rd
Houston, TX 77066-4703
Phone (832) 286-1014

Other identifiers 1

IdentifierTypeStateIssuer
212877902MedicaidTX

Other names 1

  • Gabriela Mercedes Sardon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN013802GAMDDentist
019.027621ILMDDentist
24823TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Portal Dental Pasadena PLLC Current Accepting new patients
Portal Cypress Dentistry & Orthodontics PLLC Current Accepting new patients

Organizations & group practices 2

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1255580957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 BAMMEL NORTH HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770664703",
            "telephone_number": "832-286-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12035 BAMMEL NORTH HOUSTON RD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770664703",
            "telephone_number": "832-286-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHOLTZ",
        "first_name": "GABRIELA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24823",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027621",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212877902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "SARDON",
            "middle_name": "MERCEDES",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 24, 2011; 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.