Individual provider Active NPI

Sloane Kaminski-Ditzel, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1558848226
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35866 Issued in TX
Practice address
7500 Cambridge St
Houston, TX 77054-2032
Phone
(713) 486-4000
NPI assigned
Jul 25, 2018
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35866 TX Primary

Addresses

Primary practice location

7500 Cambridge St
Houston, TX 77054-2032

Mailing address

PO Box 540608
Houston, TX 77254-0608

Other practice location 1

6410 Fannin St Ste 310
Houston, TX 77030
Phone (713) 500-5888 ext. 2

Other practice location 2

17814 Spring Cypress Rd Ste 101
Cypress, TX 77429-6290
Phone (281) 304-1319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628002578 TX Practitioner - Dentist 1456730027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35866TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Mar 25, 2022 Accepting new patients
Harris County Hospital District General Practice CurrentSince Mar 25, 2022 Accepting new patients
Cypress Dental Group and Orthodontics, PC General Practice PastSince Aug 1, 2020 Accepting new patients
The University of Texas Health Science Center at Houston General Practice PastSince Nov 24, 2019 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1558848226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540608",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CAMBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542032",
            "telephone_number": "713-486-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-500-5888 x2",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17814 Spring Cypress Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774296290",
            "country_code": "US",
            "telephone_number": "281-304-1319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKI-DITZEL",
        "first_name": "SLOANE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.