Organization Active NPI

Esgb, Inc

Doing business as Woodforest Pediatric Dentistry

  • Pediatric Dentistry
  • Magnolia, TX
National Provider Identifier
1497132328
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24481 Issued in TX
Legal business name
ESGB, INC
Doing business as
Woodforest Pediatric Dentistry
Practice address
514 Honea Egypt Rd
Suite 200
Magnolia, TX 77354-3399
Phone
(713) 703-0737
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Bradley S Harris, D.M.D.
Title
Owner
Phone
(713) 703-0737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 24481 TX Primary

Addresses

Primary practice location

514 Honea Egypt Rd
Suite 200
Magnolia, TX 77354-3399

Mailing address

514 Honea Egypt Rd
Suite 200
Magnolia, TX 77354-3399
Phone (713) 703-0737

Other names 1

  • Woodforest Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

514 Honea Egypt Rd
Ste 200
Magnolia, TX 77354
Phone (713) 703-0737

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1497132328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 HONEA EGYPT RD",
            "address_2": "SUITE 200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543399",
            "telephone_number": "713-703-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 HONEA EGYPT RD",
            "address_2": "SUITE 200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543399",
            "telephone_number": "713-703-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESGB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-703-0737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodforest Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.