Organization Active NPI

Patrick J McClellan DDS, Inc.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1568626810
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12465 Issued in TX
Legal business name
PATRICK J MCCLELLAN DDS, INC.
Practice address
910 Louisiana St
Suite 190
Houston, TX 77002-4916
Phone
(713) 229-8100
Fax
(713) 229-9241
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Patrick J McClellan, DDS
Title
President
Phone
(713) 229-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12465 TX Primary

Addresses

Primary practice location

910 Louisiana St
Suite 190
Houston, TX 77002-4916

Mailing address

910 Louisiana St
Suite 190
Houston, TX 77002-4916
Phone (713) 229-8100

National Provider Directory

National Provider Directory

Locations

910 Louisiana St
Ste 190
Houston, TX 77002
Phone (713) 229-8100

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1568626810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 LOUISIANA ST",
            "address_2": "SUITE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770024916",
            "telephone_number": "713-229-8100",
            "fax_number": "713-229-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LOUISIANA ST",
            "address_2": "SUITE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770024916",
            "telephone_number": "713-229-8100",
            "fax_number": "713-229-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J MCCLELLAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-229-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12465",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 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.