Organization Active NPI

Luis Emilio Rey DMD PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1427557487
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29360 Issued in TX
Legal business name
LUIS EMILIO REY DMD PLLC
Practice address
13630 Veterans Memorial Dr Ste H
Houston, TX 77014-1054
Phone
(281) 631-9200
Fax
(281) 631-9201
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Authorized official

Name
Mrs. Martha Alicia Escobar
Title
Manager
Phone
(281) 631-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 29360 TX Primary

Addresses

Primary practice location

13630 Veterans Memorial Dr Ste H
Houston, TX 77014-1054

Mailing address

13630 Veterans Memorial Dr Ste H
Houston, TX 77014-1054
Phone (281) 631-9200

Other identifiers 1

IdentifierTypeStateIssuer
3784662MedicaidTX

Other names 1

  • San Juan Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1427557487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 VETERANS MEMORIAL DR STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141054",
            "telephone_number": "281-631-9200",
            "fax_number": "281-631-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 VETERANS MEMORIAL DR STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141054",
            "telephone_number": "281-631-9200",
            "fax_number": "281-631-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS EMILIO REY DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-631-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3784662",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Dental Center",
            "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 Feb 6, 2018; 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.