Organization Active NPI

Specdent Professional Corporation

Doing business as Richmond Avenue Dental Specialists

  • Dentist
  • Houston, TX
National Provider Identifier
1578940102
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16793 Issued in TX
Legal business name
SPECDENT PROFESSIONAL CORPORATION
Doing business as
Richmond Avenue Dental Specialists
Practice address
6430 Richmond Ave
Suite 110
Houston, TX 77057-5917
Phone
(832) 930-4075
Fax
(832) 930-4079
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Michael A Rassner, DDS
Title
President
Phone
(832) 930-4075

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 16793 TX Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 27441 TX
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 24568 TX

Addresses

Primary practice location

6430 Richmond Ave
Suite 110
Houston, TX 77057-5917

Mailing address

6430 Richmond Ave
Suite 110
Houston, TX 77057-5917
Phone (832) 930-4075

Other names 1

  • Richmond Avenue Dental Specialists Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1578940102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575917",
            "telephone_number": "832-930-4075",
            "fax_number": "832-930-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575917",
            "telephone_number": "832-930-4075",
            "fax_number": "832-930-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECDENT PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "RASSNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-930-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16793",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "27441",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "24568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Avenue Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 2015; 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.