Individual provider Active NPI

Jose Francisco Teppa, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1285042010
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31887 Issued in TX
Practice address
2200 Space Park Dr Ste 208
Houston, TX 77058-3679
Phone
(813) 355-5772
NPI assigned
Jul 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31887 TX Primary

Addresses

Primary practice location

2200 Space Park Dr Ste 208
Houston, TX 77058-3679

Mailing address

2919 Canal St
Houston, TX 77003-1624
Phone (361) 446-7747

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
I20241204000610 TX Practitioner - Dentist 1951606813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31887TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District General Practice CurrentSince Sep 1, 2024 Accepting new patients
Harris County Hospital District CurrentSince Sep 1, 2024 Accepting new patients
Francisco J del Castillo Jr PastSince May 1, 2022 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

2903 Jensen Dr
Houston, TX 77026
Phone (713) 497-0966

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

Organizations & group practices 4

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1285042010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 CANAL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770031624",
            "telephone_number": "361-446-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR STE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583679",
            "telephone_number": "813-355-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPA",
        "first_name": "JOSE",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.