Individual provider Active NPI

Ronald Roland Novosad, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1447300108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8565 Issued in TX
Practice address
2539 S. Gessner Rd.
Suite 22
Houston, TX 77063-2028
Phone
(713) 783-1990
Fax
(713) 974-1648
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8565 TX Primary

Addresses

Primary practice location

2539 S. Gessner Rd.
Suite 22
Houston, TX 77063-2028

Mailing address

2539 S. Gessner
Suite 22
Houston, TX 77063
Phone (713) 783-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8565TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447300108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 S. GESSNER",
            "address_2": "SUITE 22",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77063",
            "telephone_number": "713-783-1990",
            "fax_number": "713-974-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 S. GESSNER RD.",
            "address_2": "SUITE 22",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632028",
            "telephone_number": "713-783-1990",
            "fax_number": "713-974-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSAD",
        "first_name": "RONALD",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8565",
            "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 Jul 8, 2007; 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.