Active NPI
Dana Manshadi DDS, PLLC
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1487071791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24691
- Legal business name
- DANA MANSHADI DDS, PLLC
- Practice address
- 12861 Gulf Fwy
Houston, TX 77034-4807 - Phone
- (281) 922-1919
- NPI assigned
- Mar 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana Manshadi, DDS
- Title
- Owner
- Phone
- (281) 922-1919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.