Active NPI
Insight Dental Group
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1306130414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17313463
- Legal business name
- INSIGHT DENTAL GROUP
- Practice address
- 1011 Augusta Dr Ste 209
Houston, TX 77057-2061 - Phone
- (713) 623-0700
- Fax
- (713) 799-1190
- NPI assigned
- Jun 6, 2011
- 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
- Dwight Daniel Peccora, D.D.S
- Title
- Manager
- Phone
- (713) 623-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17313463 | TX | Primary |
Addresses
Primary practice location
1011 Augusta Dr Ste 209
Houston, TX 77057-2061
Mailing address
1011 Augusta Dr Ste 209
Houston, TX 77057-2061
Phone (713) 623-0700
National Provider Directory
National Provider DirectoryLocations
1011 Augusta Dr
Ste 209
Houston, TX 77057
Phone (713) 623-0700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307318400000",
"number": "1306130414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 AUGUSTA DR STE 209",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770572061",
"telephone_number": "713-623-0700",
"fax_number": "713-799-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 AUGUSTA DR STE 209",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770572061",
"telephone_number": "713-623-0700",
"fax_number": "713-799-1190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT DENTAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A",
"authorized_official_last_name": "PECCORA",
"authorized_official_first_name": "DWIGHT",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "713-623-0700",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "17313463",
"primary": true
}
],
"identifiers": [],
"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 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.