Individual provider Active NPI

Arya Davoody, DDS

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1366970691
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
33853 Issued in TX
Practice address
14090 Memorial Dr
Houston, TX 77079-6848
Phone
(713) 714-1244
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 33853 TX Primary

Addresses

Primary practice location

14090 Memorial Dr
Houston, TX 77079-6848

Mailing address

7317 Eden Brook Dr Apt 304
Columbia, MD 21046-1768
Phone (443) 253-9970

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

LicenseStateTypeSpecialty
33853TXMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Park Pediatric Dentistry PLLC Pediatric Dentistry Current Accepting new patients
Memorial Dentistry for Kids PLLC Pediatric Dentistry CurrentSince Jan 31, 2021 Accepting new patients

Locations

14090 Memorial Dr
Houston, TX 77079
Phone (713) 714-1244

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1366970691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 EDEN BROOK DR APT 304",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461768",
            "telephone_number": "443-253-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796848",
            "telephone_number": "713-714-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOODY",
        "first_name": "ARYA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33853",
            "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 Jan 26, 2021; 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.