Northline Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10960 Issued in TX

Legal business name

NORTHLINE DENTAL CENTER

Practice address

4402 Airline Dr
Houston, TX 77022-2934

Phone

(713) 691-1831

Fax

(713) 691-3836

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Clark, DDSNPI 1023157153

Title

Owner

Phone

(713) 691-1831

Specialties & licenses 1

Addresses

Other names 1

• NONE Former legal business name

Locations

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.

• Thomas Clark, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1023157153
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528194099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222934",
            "telephone_number": "713-691-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222934",
            "telephone_number": "713-691-1831",
            "fax_number": "713-691-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLINE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-691-1831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Northgate Dental PLLC (Smile 4Ever Family Dentistry)
• Northland Hearing Centers Inc (Sears Hearing Aid Centers)
• Northland Hearing Centers, Inc. (NewSound Hearing Aid Centers)
• Northland Hearing Centers, Inc. (NewSound Hearing Aid Centers)
• Northland Hearing Centers, Inc. (NewSound Hearing Aid Centers)
• Northline Tso PC (Northline Texas State Optical)
• Northmedical Supply
• Blake Northrop, MD
• Hope Northrup, M.D.
• Northshore Counseling Center Inc

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.