Organization Active NPI

Adam Divincenzo DMD PA

Doing business as Kingwood Perfect Smiles

  • General Practice Dentistry
  • Kingwood, TX
National Provider Identifier
1366943524
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27800 Issued in TX
Legal business name
ADAM DIVINCENZO DMD PA
Doing business as
Kingwood Perfect Smiles
Practice address
300 Northpark Dr Ste 300
Kingwood, TX 77339-1546
Phone
(412) 973-2846
NPI assigned
Feb 23, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Dr. Adam Joseph Divincenzo, DMDNPI 1346490570
Title
Owner/President
Phone
(412) 973-2846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27800 TX Primary

Addresses

Primary practice location

300 Northpark Dr Ste 300
Kingwood, TX 77339-1546

Mailing address

300 Northpark Dr Ste 300
Kingwood, TX 77339-1546
Phone (412) 973-2846

Other names 1

  • Kingwood Perfect Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

300 Northpark Dr
Ste 300
Kingwood, TX 77339
Phone (281) 532-5281

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1366943524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTHPARK DR STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391546",
            "telephone_number": "412-973-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTHPARK DR STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391546",
            "telephone_number": "412-973-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM DIVINCENZO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "DIVINCENZO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "412-973-2846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingwood Perfect Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.