Organization Active NPI

Ace Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1609054519
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18690 Issued in TX
Legal business name
ACE DENTAL
Practice address
5208 Harrisburg Blvd
Suite a
Houston, TX 77011-4230
Phone
(713) 928-5400
Fax
(713) 928-5534
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Carlos M Gutierrez, D.D.S.
Title
Owner
Phone
(713) 928-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 18690 TX Primary

Addresses

Primary practice location

5208 Harrisburg Blvd
Suite a
Houston, TX 77011-4230

Mailing address

5208 Harrisburg Blvd
Suite a
Houston, TX 77011-4230
Phone (713) 928-5400

Other identifiers 1

IdentifierTypeStateIssuer
009822002MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Ace Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5208 Harrisburg Blvd
Ste A
Houston, TX 77011
Phone (713) 928-5400

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1609054519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 HARRISBURG BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114230",
            "telephone_number": "713-928-5400",
            "fax_number": "713-928-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 HARRISBURG BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114230",
            "telephone_number": "713-928-5400",
            "fax_number": "713-928-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-928-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009822002",
            "state": "TX"
        }
    ],
    "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 Feb 1, 2008; 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.