Active NPI
Specdent Professional Corporation
Doing business as Richmond Avenue Dental Specialists
- Dentist
- Houston, TX
National Provider Identifier
1578940102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16793
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16793 | TX | Primary |
| Endodontics | 1223E0200X | 27441 | TX | |
| Periodontics | 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
National Provider Directory
National Provider DirectoryNPI 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.