NPIMap

Organization Active NPI

Dana Manshadi DDS, PLLC

Doing business as Serenity Family Dentistry

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1487071791
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24691 Issued in TX
Legal business name
DANA MANSHADI DDS, PLLC
Doing business as
Serenity Family Dentistry
Practice address
12861 Gulf Fwy
Houston, TX 77034-4807
Phone
(281) 922-1919
NPI assigned
Mar 25, 2014
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Dr. Dana Manshadi, DDSNPI 1013143650
Title
Owner
Phone
(281) 922-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24691 TX Primary

Addresses

Primary practice location

12861 Gulf Fwy
Houston, TX 77034-4807

Mailing address

12861 Gulf Fwy
Houston, TX 77034-4807
Phone (281) 922-1919

Other names 1

  • Serenity Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12861 Gulf Fwy
Houston, TX 77034
Phone (281) 922-1919

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1487071791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12861 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-922-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12861 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "281-922-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA MANSHADI DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "MANSHADI",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-922-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Family Dentistry",
            "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 May 17, 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.