Modern Aesthetics Dental P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24594 Issued in TX

Legal business name

MODERN AESTHETICS DENTAL P.A.

Doing business as

Modern Aesthetics Dental Centre

Practice address

25201 Kuykendahl Rd
450 & 500
Tomball, TX 77375-3351

Phone

(504) 909-9434

NPI assigned

Sep 20, 2011

Last updated

Sep 20, 2011By 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. Michael P Cimino, DDSNPI 1922337484

Title

Ceo

Phone

(504) 909-9434

Specialties & licenses 1

Addresses

Other names 1

• Modern Aesthetics Dental Centre Doing business as

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.

• Michael Paul Cimino, D.D.S.

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1922337484
  Authorized official Same address or phone

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1548542244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 LOUISIANA ST",
            "address_2": "3309",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 KUYKENDAHL RD",
            "address_2": "450 & 500",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753351",
            "telephone_number": "504-909-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN AESTHETICS DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "CIMINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-909-9434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Aesthetics Dental Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia M Mills
• Gabrielle Minor
• Nisha Mirchandani, PT, DPT
• Sarah Mitchell
• Treva Green Mitchell, MSN, RN, FNP
• Hannah Grace Moffitt, FNP
• Amy Elizabeth Mohr, D.D.S.
• Jamil Chaudhry Mohsin, MD
• Tayyab Mohyuddin, MD
• Joseph Mokouba-Sony

• General Practice Dentistry in Tomball, TX
• Providers in Tomball, 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 Sep 20, 2011; 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.