Individual provider Active NPI

Phillip T Iero, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellaire, TX
National Provider Identifier
1497722664
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
K9307 Issued in TX
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

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
1910NDMDOral and Maxillofacial Surgery (Dentist)
K9307TXMDOral and Maxillofacial Surgery (Dentist)
18047TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip T. Iero, MD, DDS, PA Past Accepting new patients
Northern Facial Surgeons, P.C. PastSince Feb 1, 2008 Accepting new patients
Phillip T. Iero, M.D.,D.D.S., PC Oral and Maxillofacial Surgery PastSince Jul 24, 2000 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.

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

Verify at the official NPI Registry.