Organization Active NPI

Missonni Dental PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1467748327
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24763 Issued in TX
Legal business name
MISSONNI DENTAL PLLC
Practice address
8426 Winkler Dr
Houston, TX 77017-5062
Phone
(832) 767-4782
Fax
(877) 425-4661
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Alemseged Degefu Missonne, DDSNPI 1619106127
Title
Manager
Phone
(832) 767-4782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 24763 TX Primary

Addresses

Primary practice location

8426 Winkler Dr
Houston, TX 77017-5062

Mailing address

8426 Winkler Dr
Houston, TX 77017-5062
Phone (832) 767-4782

Other names 1

  • Hobby Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8426 Winkler Dr
Houston, TX 77017
Phone (832) 767-4782

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1467748327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 WINKLER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175062",
            "telephone_number": "832-767-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 WINKLER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175062",
            "telephone_number": "832-767-4782",
            "fax_number": "877-425-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSONNI DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "MISSONNE",
        "authorized_official_first_name": "ALEMSEGED",
        "authorized_official_middle_name": "DEGEFU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-767-4782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hobby Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.