Organization Active NPI

First Choice Family Dental PLLC

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1427759018
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FIRST CHOICE FAMILY DENTAL PLLC
Practice address
12880 Beamer Rd Ste C
Houston, TX 77089-5978
Phone
(281) 456-3388
Fax
(281) 456-3366
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Dr. Heidi N Abrahim, DMDNPI 1780357426
Title
Dentist
Phone
(281) 456-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12880 Beamer Rd Ste C
Houston, TX 77089-5978

Mailing address

12880 Beamer Rd Ste C
Houston, TX 77089-5978
Phone (281) 456-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230419000147 TX Part B Supplier - Clinic/Group Practice 1850766197 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

12880 Beamer Rd
Ste C
Houston, TX 77089
Phone (281) 456-3388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1427759018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 BEAMER RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895978",
            "telephone_number": "281-456-3388",
            "fax_number": "281-456-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 BEAMER RD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895978",
            "telephone_number": "281-456-3388",
            "fax_number": "281-456-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "ABRAHIM",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-456-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.