Organization Active NPI

Blossom Dentistry

  • Prosthodontics
  • Houston, TX
National Provider Identifier
1306204250
Registry record updated Feb 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
27374 Issued in TX
Legal business name
BLOSSOM DENTISTRY
Practice address
17500 El Camino Real
Houston, TX 77058-3032
Phone
(832) 284-4484
NPI assigned
Feb 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2016

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

Authorized official

Name
Dr. Darshanaben Patel, DDS MSDNPI 1316219439
Title
President
Phone
(832) 284-4484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 27374 TX Primary

Addresses

Primary practice location

17500 El Camino Real
Houston, TX 77058-3032

Mailing address

17500 El Camino Real
Houston, TX 77058-3032
Phone (832) 284-4484

National Provider Directory

National Provider Directory

Locations

17500 El Camino Real
Houston, TX 77058
Phone (281) 488-3930

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": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1306204250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583032",
            "telephone_number": "832-284-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583032",
            "telephone_number": "832-284-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHANABEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-284-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "27374",
            "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 Feb 7, 2016; 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.