One Dental Studio PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ONE DENTAL STUDIO PLLC

Practice address

4920 Atascocita Rd # 900
Humble, TX 77346-2849

Phone

(832) 563-1956

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Juan Gonzlez

Title

Owner

Phone

(832) 563-1956

Specialties & licenses 2

Addresses

Other names 1

• Studio One Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Manuel Gonzalez Jr., DDS

  • Dentist
  • Humble, TX
  • NPI 1881255768
  NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1619738077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 CALDER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ATASCOCITA RD # 900",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462849",
            "telephone_number": "832-563-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "GONZLEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-563-1956"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio One Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Studio One Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.