NPIMap

Organization Active NPI

Summit Dental Center LP

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1568602134
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17989 Issued in TX
Legal business name
SUMMIT DENTAL CENTER LP
Practice address
4765 FM 1960 Rd W Ste H
Houston, TX 77069-4641
Phone
(281) 977-8999
NPI assigned
Feb 23, 2009
Last updated
Feb 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Dr. Essa A Kawaja, DDSNPI 1730240300
Title
Owner
Phone
(832) 673-0999

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 Dentistry 1223G0001X 17989 TX Primary

Addresses

Primary practice location

4765 FM 1960 Rd W Ste H
Houston, TX 77069-4641

Mailing address

5225 Katy Fwy Ste 104
Houston, TX 77007-2268
Phone (832) 673-0999

Other identifiers 1

IdentifierTypeStateIssuer
17989MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Summit Dental Center LP12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5225 Katy Fwy
Ste 104
Houston, TX 77007
Phone (832) 673-0999

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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1568602134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 KATY FWY STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072268",
            "telephone_number": "832-673-0999",
            "fax_number": "281-657-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 FM 1960 RD W STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694641",
            "telephone_number": "281-977-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "KAWAJA",
        "authorized_official_first_name": "ESSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-673-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17989",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 Feb 23, 2009; 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.