Mosaic Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOSAIC DENTAL LLC

Practice address

15634 Wallisville Rd
Ste 900
Houston, TX 77049-4635

Phone

(281) 864-5073

Fax

(281) 864-5075

NPI assigned

Oct 28, 2010

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Graciela Rodriguez, DDSNPI 1487809299

Title

DDS

Phone

(281) 864-5073

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Graciela Rodriguez, DDS

  • Dentist
  • Houston, TX
  • NPI 1487809299
  Authorized official Same address or phone

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1477853190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15634 WALLISVILLE RD",
            "address_2": "STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494635",
            "telephone_number": "281-864-5073",
            "fax_number": "281-864-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15634 WALLISVILLE RD",
            "address_2": "STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494635",
            "telephone_number": "281-864-5073",
            "fax_number": "281-864-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "281-864-5073",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Marie Morvant, MD
• Kristen Michelle Moryan-Blanchard, MD
• Miroslawa Moryson, DC
• Ali Mosa, DO
• Donya Mosaffa, NP
• Barbara Jane Mosbacher, PH.D.
• Candice Mosby
• Lo-Ruhama Sarai Moschetti, LPC
• Giancarlo Moscol, M.D.
• Genalin Alameda Moscoso-Stafford

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.