NPIMap

Organization Active NPI

West Texas Dental

  • Dentist
  • River Oaks, TX
National Provider Identifier
1285934521
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19711 Issued in TX
Legal business name
WEST TEXAS DENTAL
Practice address
5422 River Oaks Blvd
River Oaks, TX 76114-3349
Phone
(716) 984-8585
NPI assigned
Nov 2, 2010
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Hossain DezhamNPI 1710166772
Title
Ceo
Phone
(916) 716-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19711 TX Primary

Addresses

Primary practice location

5422 River Oaks Blvd
River Oaks, TX 76114-3349

Mailing address

5422 River Oaks Blvd
River Oaks, TX 76114-3349

National Provider Directory

National Provider Directory
Tax ID family
Western Dental5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5422 River Oaks Blvd
River Oaks, TX 76114
Phone (716) 984-8585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1285934521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 RIVER OAKS BLVD",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761143349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 RIVER OAKS BLVD",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761143349",
            "telephone_number": "716-984-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "DEZHAM",
        "authorized_official_first_name": "HOSSAIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-716-8311"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Oaks, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.