Individual provider Active NPI

Sara Gomez, D.M.D

  • Endodontics
  • Houston, TX
National Provider Identifier
1477875227
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
25256 Issued in TX
Practice address
13202 Briar Forest Dr Apt 1410
Houston, TX 77077-2442
Phone
(646) 387-4776
NPI assigned
Feb 22, 2010
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 25256 TX Primary

Addresses

Primary practice location

13202 Briar Forest Dr Apt 1410
Houston, TX 77077-2442

Mailing address

1011 Medical Plaza Dr Ste 210
Spring, TX 77380-3255
Phone (832) 282-4837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25256TXMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Parkway Endodontics Endodontics Current Accepting new patients

Locations

1011 Medical Plaza Dr
Ste 210
The Woodlands, TX 77380
Phone (281) 893-1060

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1477875227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR STE 210",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803255",
            "telephone_number": "832-282-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13202 BRIAR FOREST DR APT 1410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772442",
            "telephone_number": "646-387-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SARA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "25256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2023; 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.