NPIMap

Organization Active NPI

Parkway Dental Group

  • General Practice Dentistry
  • Pearland, TX
National Provider Identifier
1568626422
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17293 Issued in TX
Legal business name
PARKWAY DENTAL GROUP
Practice address
2800 Broadway St
Suite I
Pearland, TX 77581-9502
Phone
(281) 485-2231
Fax
(281) 485-2290
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Joseph Ralph Mendoza, D.D.S.NPI 1093939316
Title
Dentist/Owner
Phone
(281) 485-2231

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 17293 TX Primary

Addresses

Primary practice location

2800 Broadway St
Suite I
Pearland, TX 77581-9502

Mailing address

2800 Broadway St
Suite I
Pearland, TX 77581-9502
Phone (281) 485-2231

Other identifiers 1

IdentifierTypeStateIssuer
111077701MedicaidTX

National Provider Directory

National Provider Directory

Locations

2800 Broadway St
Ste I
Pearland, TX 77581
Phone (281) 485-2231

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1568626422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BROADWAY ST",
            "address_2": "SUITE I",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819502",
            "telephone_number": "281-485-2231",
            "fax_number": "281-485-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BROADWAY ST",
            "address_2": "SUITE I",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819502",
            "telephone_number": "281-485-2231",
            "fax_number": "281-485-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "281-485-2231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111077701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.