Organization Active NPI

Texas Family Dentistry PLLC

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1497130843
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TEXAS FAMILY DENTISTRY PLLC
Practice address
910 S Wayside Dr Ste 300
Houston, TX 77023-3417
Phone
(832) 433-7252
Fax
(832) 668-5447
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Mrs. Shervin Amini
Title
Credentialing Manager
Phone
(713) 465-8239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

910 S Wayside Dr Ste 300
Houston, TX 77023-3417

Mailing address

1919 Lake Winds Dr
Missouri City, TX 77459-1710
Phone (832) 433-7252

Other practice location 1

301 S 9th St
Suite 104
Richmond, TX 77469-3448
Phone (281) 336-1131

National Provider Directory

National Provider Directory
Tax ID family
Texas Family Dentistry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1497130843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LAKE WINDS DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591710",
            "telephone_number": "832-433-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S WAYSIDE DR STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233417",
            "telephone_number": "832-433-7252",
            "fax_number": "832-668-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S 9th St",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693448",
            "country_code": "US",
            "telephone_number": "281-336-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "713-465-8239",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Aug 5, 2021; 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.