Organization Active NPI

Northwest Dental PC

Doing business as Magnolia Family Dental

  • General Practice Dentistry
  • Magnolia, TX
National Provider Identifier
1295158087
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTHWEST DENTAL PC
Doing business as
Magnolia Family Dental
Practice address
18602 FM 1488 Rd Ste 200
Magnolia, TX 77354-8507
Phone
(281) 545-0175
Fax
(281) 292-2822
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Mr. Saad Salahuddin, DDS
Title
Vice President
Phone
(281) 545-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18602 FM 1488 Rd Ste 200
Magnolia, TX 77354-8507

Mailing address

18602 FM 1488 Rd Ste 200
Magnolia, TX 77354-8507

Other names 1

  • MAGNOLIA FAMILY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

18602 FM 1488 Rd
Ste 200
Magnolia, TX 77354
Phone (281) 545-0175

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1295158087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18602 FM 1488 RD STE 200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773548507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18602 FM 1488 RD STE 200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773548507",
            "telephone_number": "281-545-0175",
            "fax_number": "281-292-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SALAHUDDIN",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "281-545-0175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.