Individual provider Active NPI

Reena Thomas George, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1609865070
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23742 Issued in TX
Practice address
12626 Woodforest Blvd
#Z
Houston, TX 77015-3425
Phone
(713) 590-0999
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019025741 IL
Dentist 122300000X 23742 TX
General Practice Dentistry 1223G0001X 23742 TX Primary
Pediatric Dentistry 1223P0221X 23742 TX

Addresses

Primary practice location

12626 Woodforest Blvd
#Z
Houston, TX 77015-3425

Mailing address

1725 Crescent Plaza Dr
Apt #1169
Houston, TX 77077-2476
Phone (512) 535-5747

Other identifiers 1

IdentifierTypeStateIssuer
163346MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019025741ILMDDentist
23742TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Anesthesiologists of Houston, PLLC Past Accepting new patients
Soumava Sen, DD, P.C. Dentist PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1609865070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 CRESCENT PLAZA DR",
            "address_2": "APT #1169",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772476",
            "telephone_number": "512-535-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 WOODFOREST BLVD",
            "address_2": "#Z",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153425",
            "telephone_number": "713-590-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "REENA",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025741",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23742",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23742",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163346",
            "state": "IL"
        }
    ],
    "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 Jul 22, 2011; 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.