Hedieh Pournik DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21019 Issued in TX

Legal business name

HEDIEH POURNIK DDS PA

Practice address

23741 Hwy 59
Ste #1
Porter, TX 77365

Phone

(281) 354-2540

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hedieh Pournik, DDSNPI 1689879025

Title

Owner

Phone

(832) 754-8572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• affordable smiles Doing business as

Locations

Practitioners 2

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

• Hedieh Pournik, D.D.S

  • Dentist
  • Porter, TX
  • NPI 1689879025
  NPD (past) Authorized official
• Robert Stroumpos, DDS

  • General Practice Dentistry
  • Porter, TX
  • NPI 1154409134
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1447430319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23741 HWY 59",
            "address_2": "STE #1",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "77365",
            "telephone_number": "281-354-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23741 HWY 59",
            "address_2": "STE #1",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "77365",
            "telephone_number": "281-354-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDIEH POURNIK DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "POURNIK",
        "authorized_official_first_name": "HEDIEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-754-8572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188841401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "affordable smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlyn Guerrero
• Ann Gustavus
• H and H Yamani LLC
• Rebecca Ham, OTR
• Kristie Hayes, L.A.T.
• Tiffany Raye Henderson, FNP-C
• Teresa A Herrin, FNP-C
• Harli Higdon
• Hill-Rom Company, Inc
• Jon Sampson Hitchcock, DO

• General Practice Dentistry in Porter, TX
• Providers in Porter, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.