Organization Active NPI

TG Impex PLLC

Doing business as Aqua Dental Friendswood

  • General Practice Dentistry
  • Friendswood, TX
National Provider Identifier
1467000190
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TG IMPEX PLLC
Doing business as
Aqua Dental Friendswood
Practice address
1111 S Friendswood Dr Ste 107
Friendswood, TX 77546-5493
Phone
(713) 436-2782
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Chasity Moore
Title
Manger
Phone
(713) 436-2782

Specialties & licenses 1

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

Addresses

Primary practice location

1111 S Friendswood Dr Ste 107
Friendswood, TX 77546-5493

Mailing address

1111 S Friendswood Dr Ste 107
Friendswood, TX 77546-5493

Other identifiers 2

IdentifierTypeStateIssuer
1487797668OtherTXRAHUL GANDHI, DMD
1437447398OtherTXMUDDASAR TUKDI, DMD

Other names 1

  • Aqua Dental Friendswood Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1467000190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S FRIENDSWOOD DR STE 107",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S FRIENDSWOOD DR STE 107",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465493",
            "telephone_number": "713-436-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TG IMPEX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "713-436-2782"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAHUL GANDHI, DMD",
            "identifier": "1487797668",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUDDASAR TUKDI, DMD",
            "identifier": "1437447398",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqua Dental Friendswood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.