WDMG LLC

Primary specialty

DentistTaxonomy code 122300000X

License

19503 Issued in TX

Legal business name

WDMG LLC

Practice address

9125 West Rd
Houston, TX 77064-8623

Phone

(713) 937-0050

Fax

(713) 937-0518

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Jonathan Louis Lepow

Title

President

Phone

(713) 937-0050

Specialties & licenses 1

Addresses

Other names 1

• Greater Houston Dental Specialists Doing business as

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1598027179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 WEST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770648623",
            "telephone_number": "281-893-1060",
            "fax_number": "281-893-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 WEST RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770648623",
            "telephone_number": "713-937-0050",
            "fax_number": "713-937-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WDMG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "LEPOW",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-937-0050"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Houston Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.