Active NPI
Tara Dental
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1285829069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20601
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163810801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.