Organization Active NPI

Insight Dental Group

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1306130414
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17313463 Issued in TX
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

Updated by the provider on Jun 6, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.