Organization Active NPI

Green Earth Dentistry, PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1407229214
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27116 Issued in TX
Legal business name
GREEN EARTH DENTISTRY, PA
Practice address
1202 Elgin St
A
Houston, TX 77004-2829
Phone
(713) 523-3264
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Ms. Nguyet Dang, DDS
Title
Owner
Phone
(713) 523-3264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27116 TX Primary

Addresses

Primary practice location

1202 Elgin St
A
Houston, TX 77004-2829

Mailing address

1202 Elgin St
A
Houston, TX 77004-2829
Phone (713) 523-3264

Other identifiers 1

IdentifierTypeStateIssuer
1952699936OtherTXINDIVIDUAL

Other names 1

  • Green Earth Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1202 Elgin St
#A
Houston, TX 77004
Phone (713) 523-3264

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1407229214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 ELGIN ST",
            "address_2": "A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042829",
            "telephone_number": "713-523-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 ELGIN ST",
            "address_2": "A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042829",
            "telephone_number": "713-523-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN EARTH DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "NGUYET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-523-3264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1952699936",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Earth Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2015; 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.