Organization Active NPI

Fine Dental Care Management Corporation

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1578027850
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FINE DENTAL CARE MANAGEMENT CORPORATION
Practice address
955 Dairy Ashford Rd Ste 107
Houston, TX 77079-5307
Phone
(281) 809-3595
Fax
(281) 809-3598
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Dr. Kenneth J Rosario, DMDNPI 1366594400
Title
Dentist
Phone
(787) 643-0774

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

955 Dairy Ashford Rd Ste 107
Houston, TX 77079-5307

Mailing address

955 Dairy Ashford Rd Ste 107
Houston, TX 77079-5307
Phone (281) 809-3595

National Provider Directory

National Provider Directory

Locations

955 Dairy Ashford Rd
Ste 107
Houston, TX 77079
Phone (281) 531-7000

Practitioners & affiliated clinicians

Practitioners 1

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": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1578027850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD RD STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795307",
            "telephone_number": "281-809-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD RD STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795307",
            "telephone_number": "281-809-3595",
            "fax_number": "281-809-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE DENTAL CARE MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-643-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jan 30, 2019; 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.