Jason Brock, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

28465 Issued in TX

Practice address

14740 Barryknoll LN
120
Houston, TX 77079-2884

Phone

(281) 584-0550

Fax

(281) 584-0589

NPI assigned

May 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Tang PC

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1194082362
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1346500121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN",
            "address_2": "120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792884",
            "telephone_number": "281-584-0550",
            "fax_number": "281-584-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN",
            "address_2": "120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792884",
            "telephone_number": "281-584-0550",
            "fax_number": "281-584-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan R Brochstein, LCSW
• Susan Lynn Brock-Roberts, LPC
• Asia Matrece Brock
• Courtney Abigail Brock
• Gary T Brock, M.D.
• Jennifer E Brock, L.P.C.
• Julie Wynne Brock, CRNA
• Larry Richard Brock, D.M.D.
• Linda Brock, PNP
• Madison Brock, LCSW

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.