Meyerland Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MEYERLAND MODERN DENTISTRY, PC

Doing business as

Meyerland Modern Dentistry

Practice address

4950 Beechnut St
Houston, TX 77096-1605

Phone

(281) 503-4804

Fax

(281) 573-0775

NPI assigned

Dec 12, 2019

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Elizondo, DDS

Title

Owner

Phone

(281) 503-4804

Specialties & licenses 1

Addresses

Other names 1

• Meyerland Modern Dentistry Doing business as

Locations

Practitioners 2

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.

• Anna Caroline Grubbs, DDS

  • Dentist
  • Superior, CO
  • NPI 1295344836
  NPD
• Avinash Deepak Kotecha

  • Dentist
  • Houston, TX
  • NPI 1033036520
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1326686031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961605",
            "telephone_number": "281-503-4804",
            "fax_number": "281-573-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERLAND MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "ELIZONDO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-503-4804",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyerland Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meyerland Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikaela Meyer, DPT
• Teaira A Meyer
• Thomas Daniel Meyer, PH.D.
• Meyerland Family Dentistry PC
• Meyerland Memory Care, LLC (Autumn Leaves of Meyerland)
• Meyerland Pharmacy, LLC
• Meyerland Tso PA
• Martha E Meyers
• Priscilla Meyers, NNP-BC
• Stephanie Elaine Meyers

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.