Organization Active NPI

Dental Land PLLC

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1578197208
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL LAND PLLC
Practice address
2525 Southmore Ave # Site200
Pasadena, TX 77502-1451
Phone
(713) 434-6170
Fax
(713) 434-6189
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Sirous Rasti
Title
Manager
Phone
(713) 434-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2525 Southmore Ave # Site200
Pasadena, TX 77502-1451

Mailing address

2525 Southmore Ave # Site200
Pasadena, TX 77502-1451
Phone (713) 434-6170

National Provider Directory

National Provider Directory

Locations

2525 Southmore Ave
#200
Pasadena, TX 77502
Phone (713) 434-6170

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": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1578197208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SOUTHMORE AVE # SITE200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021451",
            "telephone_number": "713-434-6170",
            "fax_number": "713-434-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SOUTHMORE AVE # SITE200",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021451",
            "telephone_number": "713-434-6170",
            "fax_number": "713-434-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL LAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "RASTI",
        "authorized_official_first_name": "SIROUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-434-6170"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.