Organization Active NPI

Tara Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1285829069
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20601 Issued in TX
Legal business name
TARA DENTAL
Practice address
6910 Bellaire Blvd
Blvd #11
Houston, TX 77074-3509
Phone
(713) 988-8272
NPI assigned
Sep 13, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Om Krishan
Title
Manager
Phone
(713) 988-8272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20601 TX Primary

Addresses

Primary practice location

6910 Bellaire Blvd
Blvd #11
Houston, TX 77074-3509

Mailing address

6910 Bellaire Blvd
Blvd #11
Houston, TX 77074-3509
Phone (713) 988-8272

Other identifiers 1

IdentifierTypeStateIssuer
163810801MedicaidTX

National Provider Directory

National Provider Directory

Locations

6910 Bellaire Blvd
Ste 11
Houston, TX 77074
Phone (713) 988-8272

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1285829069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 BELLAIRE BLVD",
            "address_2": "BLVD #11",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743509",
            "telephone_number": "713-988-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 BELLAIRE BLVD",
            "address_2": "BLVD #11",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743509",
            "telephone_number": "713-988-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KRISHAN",
        "authorized_official_first_name": "OM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-988-8272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163810801",
            "state": "TX"
        }
    ],
    "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 Jun 17, 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.