Active NPI
Angel Smile Dental Clinic
- Exclusive Provider Organization
- Houston, TX
National Provider Identifier
1285894717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 19925
- Legal business name
- ANGEL SMILE DENTAL CLINIC
- Practice address
- 6909 Hillcroft
Suite 1F
Houston, TX 77081 - Phone
- (713) 772-6435
- NPI assigned
- Jun 9, 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
- Dr. Marjaneh Azad, DDS
- Title
- Owner
- Phone
- (713) 772-6435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 19925 | TX | Primary |
Addresses
Primary practice location
6909 Hillcroft
Suite 1F
Houston, TX 77081
Mailing address
6909 Hillcroft St
Ste 1F
Houston, TX 77081-4822
Phone (713) 772-6435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161520501 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Angel Smile Dental Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
6909 Hillcroft Ave
Ste 1F
Houston, TX 77081
Phone (281) 393-8282
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Houston, TX
- NPI 1851360846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1285894717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 HILLCROFT ST",
"address_2": "STE 1F",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770814822",
"telephone_number": "713-772-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 HILLCROFT",
"address_2": "SUITE 1F",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77081",
"telephone_number": "713-772-6435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL SMILE DENTAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "AZAD",
"authorized_official_first_name": "MARJANEH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-772-6435",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "TX",
"license": "19925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161520501",
"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 9, 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.