Active NPI
Kenneth W Pagel, DDS
- Dentist
- Houston, TX
National Provider Identifier
1366798597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28222
- Practice address
- 333 Clay St
Ste. 100
Houston, TX 77002-4000 - Phone
- (713) 658-9591
- NPI assigned
- Jul 25, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28222 | TX | Primary |
Addresses
Primary practice location
333 Clay St
Ste. 100
Houston, TX 77002-4000
Mailing address
333 Clay St
Ste. 100
Houston, TX 77002-4000
Phone (713) 658-9591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602002310 | TX | Order and Referring Only - Oral Surgery | 3779804752 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28222 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1366798597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CLAY ST",
"address_2": "STE. 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770024000",
"telephone_number": "713-658-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CLAY ST",
"address_2": "STE. 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770024000",
"telephone_number": "713-658-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGEL",
"first_name": "KENNETH",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-25",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28222",
"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 Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.