Active NPI
Nikola Angelov, DDS
- Periodontics
- Houston, TX
National Provider Identifier
1366611014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 28720
- Practice address
- 7500 Cambridge St
Houston, TX 77054-2032 - Phone
- (713) 486-4444
- NPI assigned
- Feb 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE00010989 | WA | |
| Periodontics | 1223P0300X | 28720 | TX | Primary |
Addresses
Primary practice location
7500 Cambridge St
Houston, TX 77054-2032
Mailing address
7500 Cambridge St Ste 6470
Houston, TX 77054-2032
Phone (713) 486-4073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010989 | WA | MD | Periodontist |
| 28720 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1366611014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 CAMBRIDGE ST STE 6470",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542032",
"telephone_number": "713-486-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 CAMBRIDGE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542032",
"telephone_number": "713-486-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELOV",
"first_name": "NIKOLA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE00010989",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "28720",
"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 Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.