Modern Dental Professionals Houston PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MODERN DENTAL PROFESSIONALS HOUSTON PC

Practice address

3570 Spencer Hwy
Pasadena, TX 77504-1110

Phone

(713) 947-9800

Fax

(713) 634-7404

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Liliana Martinez

Title

Credentialing Director

Phone

(949) 308-9792

Specialties & licenses 1

Addresses

Other names 1

• Castle Dental and Monarch Dental 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.

• Lynn Kabbani, DMD

  • Dentist
  • Pasadena, TX
  • NPI 1255171708
  NPD
• Jeffrey Eakin

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1194884585
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1457421125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR STE 1020",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041110",
            "telephone_number": "713-947-9800",
            "fax_number": "713-634-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL PROFESSIONALS HOUSTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "949-308-9792"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Dental and Monarch Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Castle Dental and Monarch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aisha Mirza, MD
• Mitch Weaver and Associates, LLC
• Erica Mitchell, PA-C
• Moazam PA
• Joel O Mobe, CRNA
• Mohamed O Jeroudi MD PA
• Enrique Molano-Manrique, M.D.
• Kathy Starr Molinaro, M.A., L.P.C.
• Alina Murad Momin, NP
• Mustak Mansur Momin, M.D.

• Dentist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.