Organization Active NPI

Jay Elliott DDS PA

Doing business as New Teeth Dental Solutions

  • Dentist
  • Houston, TX
National Provider Identifier
1356707087
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14368 Issued in TX
Legal business name
JAY ELLIOTT DDS PA
Doing business as
New Teeth Dental Solutions
Practice address
4005 Broadway St
Houston, TX 77087-4703
Phone
(713) 644-4331
Fax
(713) 644-1975
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Mrs. Janie Mustion
Title
Office Manager
Phone
(713) 644-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14368 TX Primary

Addresses

Primary practice location

4005 Broadway St
Houston, TX 77087-4703

Mailing address

4005 Broadway St
Houston, TX 77087-4703
Phone (713) 644-4331

Other names 1

  • New Teeth Dental Solutions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1356707087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "713-644-4331",
            "fax_number": "713-644-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "713-644-4331",
            "fax_number": "713-644-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ELLIOTT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "MUSTION",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-644-4331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Teeth Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 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.