Active NPI
Shirley Radford, DDS
- General Practice Dentistry
- Humble, TX
National Provider Identifier
1407908122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22017
- Practice address
- 1238 Deerbrook
Humble, TX 77338 - Phone
- (281) 446-4237
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22017 | TX | Primary |
Addresses
Primary practice location
1238 Deerbrook
Humble, TX 77338
Mailing address
5107 Grantwood St
Houston, TX 77004-7901
Phone (713) 528-5632
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22017 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407908122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5107 GRANTWOOD ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047901",
"telephone_number": "713-528-5632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 DEERBROOK",
"city": "HUMBLE",
"state": "TX",
"postal_code": "77338",
"telephone_number": "281-446-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "SHIRLEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
- Harith Hilal Qureshi, M.D
- R. K. Surgical Associates, PA
- Michael P Raabe, MS CCC-SLP
- Srikanth Krishnamurthy Raayasa, MD
- Tanya Nicole Rachan, DMD
- Radhikasmiles PLLC (Charm Dental)
- Radiant Dermatology Fall Creek PLLC
- Bailey Raines
- Tawakalitu Raji, PMHNP
- Rajiv Agarwal MD PA (Modern Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.