Individual provider Active NPI

Felicia Pranata, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1477967487
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30112 Issued in TX
Practice address
13447 East Fwy
Houston, TX 77015-5901
Phone
(832) 767-5614
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30112 TX Primary

Addresses

Primary practice location

13447 East Fwy
Houston, TX 77015-5901

Mailing address

1131 Juniper Canyon LN
Houston, TX 77062-2059
Phone (713) 530-5168

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
30112TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Felicia Pranata, PLLC General Practice CurrentSince Apr 3, 2022 Accepting new patients
Star Dentist PLLC PastSince Apr 3, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1477967487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 JUNIPER CANYON LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622059",
            "telephone_number": "713-530-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13447 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155901",
            "telephone_number": "832-767-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANATA",
        "first_name": "FELICIA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30112",
            "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 30, 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.