Nouvelle Dents PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17945 Issued in TX

Legal business name

NOUVELLE DENTS PA

Doing business as

Broadway Smile Designers

Practice address

4025 Broadway St
Houston, TX 77087-4703

Phone

(731) 643-7673

Fax

(713) 643-5534

NPI assigned

Jun 15, 2016

Last updated

Jun 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lance T. Tran, DDSNPI 1518104967

Title

President

Phone

(713) 643-7673

Specialties & licenses 1

Addresses

Other names 1

• Broadway Smile Designers Doing business as

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.

• Lance T. Tran, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1518104967
  NPD (past) Authorized official

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1417307943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "731-643-7673",
            "fax_number": "713-643-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "731-643-7673",
            "fax_number": "713-643-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOUVELLE DENTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-643-7673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Smile Designers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amina Nouri, DMD
• Kent Nouri, M.D.
• Nourish Well Together
• Alice Noussi
• Nouvelle Deluxe Health Services LLC
• Nova Beltran PC
• Nova Dental Care, PC
• Nova Diagnostics Labs
• Nova Family Health and Wellness Clinic LLC
• Nova Health Care PA

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.