Organization Active NPI

Harry N Green III D.D.S. PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1437369972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22057 Issued in TX
Legal business name
HARRY N GREEN III D.D.S. PLLC
Doing business as
vintage park dentistry
Practice address
10850 Louetta Rd.
Suite 800
Houston, TX 77070
Phone
(623) 640-1153
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harry N Green III, D.D.S.
Title
Dentist
Phone
(623) 640-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22057 TX Primary

Addresses

Primary practice location

10850 Louetta Rd.
Suite 800
Houston, TX 77070

Mailing address

12407 Brazos Bend TRL
Humble, TX 77346-3481

Other names 1

  • vintage park dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10850 Louetta Rd
Ste 800
Houston, TX 77070
Phone (281) 374-0031

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437369972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12407 BRAZOS BEND TRL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 LOUETTA RD.",
            "address_2": "SUITE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "623-640-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY N GREEN III D.D.S. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-640-1153",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vintage park dentistry",
            "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 Aug 22, 2020; 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.