Organization Active NPI

Urbn Dental Tanglewood PLLC

Doing business as URBN Dental Tanglewood

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1417701566
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
URBN DENTAL TANGLEWOOD PLLC
Doing business as
URBN Dental Tanglewood
Practice address
6363 San Felipe St Ste 200B
Houston, TX 77057-2704
Phone
(713) 714-4245
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Julia Rivas
Title
Coo
Phone
(832) 358-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6363 San Felipe St Ste 200B
Houston, TX 77057-2704

Mailing address

6363 San Felipe St Ste 200B
Houston, TX 77057-2704

Other names 1

  • URBN Dental Tanglewood Doing business as

National Provider Directory

National Provider Directory

Locations

6363 San Felipe St
Ste 200B
Houston, TX 77057
Phone (346) 800-3330

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1417701566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 SAN FELIPE ST STE 200B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 SAN FELIPE ST STE 200B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572704",
            "telephone_number": "713-714-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBN DENTAL TANGLEWOOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-358-7076"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "URBN Dental Tanglewood",
            "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 Apr 15, 2024; 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.