Organization Active NPI

David T. Nemoto M.D, P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1568467579
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J9239 Issued in TX
Legal business name
DAVID T. NEMOTO M.D, P.A.
Practice address
1446 Campbell Rd Ste 200
Houston, TX 77055-4604
Phone
(713) 467-2700
Fax
(713) 467-3308
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Dr. David T Nemoto, M.D.NPI 1528240686
Title
President
Phone
(713) 467-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J9239 TX Primary

Addresses

Primary practice location

1446 Campbell Rd Ste 200
Houston, TX 77055-4604

Mailing address

1446 Campbell Rd Ste 200
Houston, TX 77055-4604
Phone (713) 467-2700

Other practice location 1

21338 Provincial Blvd
Katy, TX 77450-7580
Phone (713) 467-2700

Other identifiers 1

IdentifierTypeStateIssuer
1274367-04MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address david.nemoto@dtnm.eclinicaldirect.com Direct
Direct Messaging Address david.nemoto@dtnm.eclinicaldirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000774 TX Part B Supplier - Clinic/Group Practice 9234101072 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

902 Frostwood Dr
Ste 233
Houston, TX 77024
Phone (713) 467-2700

1446 Campbell Rd
Ste 200
Houston, TX 77055
Phone (713) 467-2700

915 Gessner Rd
Ste 440
Houston, TX 77024
Phone (713) 467-2700

Practitioners & affiliated clinicians

Practitioners 2

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1568467579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 CAMPBELL RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554604",
            "telephone_number": "713-467-2700",
            "fax_number": "713-467-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 CAMPBELL RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554604",
            "telephone_number": "713-467-2700",
            "fax_number": "713-467-3308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21338 Provincial Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774507580",
            "country_code": "US",
            "telephone_number": "713-467-2700",
            "fax_number": "713-467-3308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID T. NEMOTO M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "NEMOTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-467-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J9239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1274367-04",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.nemoto@dtnm.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "EHRCommunication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1446 Campbell Rd Ste 200",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770554604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.nemoto@dtnm.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "EHR Communucation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21338 Provincial Blvd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774507580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.