South Houston Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

19772 Issued in TX

Legal business name

SOUTH HOUSTON FAMILY DENTAL

Doing business as

south houston family dental

Practice address

701 College Ave
South Houston, TX 77587-4205

Phone

(713) 941-7555

Fax

(713) 951-7527

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Priya T Ganju, D.D.S.

Title

Dentist

Phone

(713) 941-7555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• south houston family dental Doing business as

Locations

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1467727347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COLLEGE AVE",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874205",
            "telephone_number": "713-941-7555",
            "fax_number": "713-951-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COLLEGE AVE",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874205",
            "telephone_number": "713-941-7555",
            "fax_number": "713-951-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOUSTON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "GANJU",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-941-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578745931",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "south houston family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mehul Rana
• Sai N M Ventures LLC
• Brianna Aurora Sanborn, M.A. CF-SLP
• Carrie Sibley Shrader, DDS
• Valerie Claudia Siaha, FNP
• South Houston Family Dental PC
• Spencer Dental
• Teni Home Health LLC
• Turning Points
• Margaret Alice Vasquez, RN, MS, CFNP

• Dentist in South Houston, TX
• Providers in South Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.