Individual provider Active NPI

Gloria D Iwuala, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1609929645
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13492 Issued in TX
Practice address
310 W 19TH St
Houston, TX 77008-3906
Phone
(713) 869-4085
Fax
(713) 869-6414
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13492 TX Primary

Addresses

Primary practice location

310 W 19TH St
Houston, TX 77008-3906

Mailing address

310 W 19TH St
Houston, TX 77008-3906
Phone (713) 869-4085

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1609929645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 19TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083906",
            "telephone_number": "713-869-4085",
            "fax_number": "713-869-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 19TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083906",
            "telephone_number": "713-869-4085",
            "fax_number": "713-869-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWUALA",
        "first_name": "GLORIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13492",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 2016; 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.