Pediatric Dental Wellness

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

20140 Issued in TX

Legal business name

PEDIATRIC DENTAL WELLNESS

Practice address

11921 Bissonnet St
Houston, TX 77099-1425

Phone

(281) 495-3343

Fax

(281) 495-1125

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick M Ralph, DMDNPI 1285642017

Title

President

Phone

(281) 495-3343

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick M Ralph, DMD

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1285642017
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386867752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991425",
            "telephone_number": "281-495-3343",
            "fax_number": "281-495-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991425",
            "telephone_number": "281-495-3343",
            "fax_number": "281-495-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RALPH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-495-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedes Medical Rehab Clinic
• Pediatric and Endocrinology PLLC
• Pediatric Angels, Inc.
• Pediatric Associates
• Pediatric Cottage, P.a.
• Pediatric Executives
• Pediatric Healthcare of Northwest Houston PA
• Pediatric Healthcare of Northwest Houston PA
• Pediatric Helping Hands Therapy, LLC
• Pediatric Home Healthcare

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.