Active NPI
Phillip T Iero, M.D., D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Bellaire, TX
National Provider Identifier
1497722664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- K9307
- Practice address
- 6800 West Loop S
Suite 350
Bellaire, TX 77401-4528 - Phone
- (713) 665-9200
- Fax
- (713) 665-9206
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 8490 | ND | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1910 | ND | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | K9307 | TX | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 18047 | TX |
Addresses
Primary practice location
6800 West Loop S
Suite 350
Bellaire, TX 77401-4528
Mailing address
6800 West Loop S
Suite 350
Bellaire, TX 77401-4528
Phone (713) 665-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 20, 2010 through Sep 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1910 | ND | MD | Oral and Maxillofacial Surgery (Dentist) |
| K9307 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
| 18047 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillip T. Iero, MD, DDS, PA | Past | Accepting new patients | |
| Northern Facial Surgeons, P.C. | Past | Accepting new patients | |
| Phillip T. Iero, M.D.,D.D.S., PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Bellaire, TX
- NPI 1669640595
-
- Ambulatory Surgical Clinic/Center
- Bismarck, ND
- NPI 1427226125
-
- Oral and Maxillofacial Surgery (Dentist)
- Bismarck, ND
- NPI 1588697015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1497722664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 WEST LOOP S",
"address_2": "SUITE 350",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014528",
"telephone_number": "713-665-9200",
"fax_number": "713-665-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 WEST LOOP S",
"address_2": "SUITE 350",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014528",
"telephone_number": "713-665-9200",
"fax_number": "713-665-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IERO",
"first_name": "PHILLIP",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D., D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "ND",
"license": "8490",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "ND",
"license": "1910",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "K9307",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "18047",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.