NPIMap

Organization Active NPI

Moravej Dental Corporation

Doing business as Memorial City Smiles

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1518231133
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24364 Issued in TX
Legal business name
MORAVEJ DENTAL CORPORATION
Doing business as
Memorial City Smiles
Practice address
902 Frostwood Dr
Suite # 166
Houston, TX 77024-2420
Phone
(713) 461-6161
Fax
(713) 461-4282
NPI assigned
Feb 29, 2012
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Albert Moravej, D.D.SNPI 1568656197
Title
Owner/ President
Phone
(713) 492-4142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24364 TX Primary

Addresses

Primary practice location

902 Frostwood Dr
Suite # 166
Houston, TX 77024-2420

Mailing address

902 Frostwood Dr
Suite # 166
Houston, TX 77024-2420
Phone (713) 461-6161

Other names 1

  • Memorial City Smiles Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1518231133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE # 166",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-461-6161",
            "fax_number": "713-461-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE # 166",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-461-6161",
            "fax_number": "713-461-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAVEJ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "MORAVEJ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "713-492-4142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial City Smiles",
            "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 Sep 6, 2016; 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.