Sage Dental-Deer Park PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SAGE DENTAL-DEER PARK PLLC

Practice address

9001 Spencer Hwy
Suite J
La Porte, TX 77571-3897

Phone

(972) 869-3789

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Mary Pu

Title

VP Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Quinton John Parks, DDS

  • Dentist
  • Fulshear, TX
  • NPI 1225359284
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1477841286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 SPENCER HWY",
            "address_2": "SUITE J",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713897",
            "telephone_number": "972-869-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE DENTAL-DEER PARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanelli Rios
• Timothy John Rodgers, D.D.S.
• Jennifer Rodriguez Velez, LCSW
• Karen Yamili Rosas
• Adise Marie Roubleau, PHARM D
• Hemanth Kumar Samuel, D.D.S
• Suzanne Marie Schafer, D.O.
• Herbert Bernard Schneider
• Sarah Schuhmacher, DDS
• Seniorlivingspropertieslaportehealthcare

• Dentist in La Porte, TX
• Providers in La Porte, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.