Masid1 PLLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

17900 Issued in TX

Legal business name

MASID1 PLLC

Doing business as

Smile Dental Arts

Practice address

16215 North Fwy
Houston, TX 77090-5524

Phone

(281) 444-0030

Fax

(281) 444-0036

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Maisa Idriss, D.M.D.

Title

Dentist

Phone

(281) 257-8815

Specialties & licenses 1

Addresses

Other names 1

• Smile Dental Arts Doing business as

Locations

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1457631137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16215 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905524",
            "telephone_number": "281-444-0030",
            "fax_number": "281-444-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905524",
            "telephone_number": "281-444-0030",
            "fax_number": "281-444-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASID1 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "IDRISS",
        "authorized_official_first_name": "MAISA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-257-8815",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "17900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Masep Inc
• Michael D Maseta, DDS
• Adepeju Masha
• Olagoke Masha, DMD
• Sharline Mashack, APRN
• Agnes Tecson Masiglat, PT
• Omar Masihuddin, PA
• Damaris Masila
• Kamalasanthi Masilamani, PHARM.D., CDE
• Laurel Masin, O.D.

• Exclusive Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.