Organization Active NPI

Holman Dental PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1629419783
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15708 Issued in TX
Legal business name
HOLMAN DENTAL PLLC
Practice address
820 Holman St
Houston, TX 77002-9520
Phone
(713) 521-0525
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dung Dang
Title
Manager
Phone
(713) 521-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15708 TX Primary

Addresses

Primary practice location

820 Holman St
Houston, TX 77002-9520

Mailing address

820 Holman St
Houston, TX 77002-9520

Other identifiers 1

IdentifierTypeStateIssuer
289085701MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Holman Dental PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

820 Holman St
Houston, TX 77002
Phone (713) 521-0525

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1629419783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HOLMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HOLMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029520",
            "telephone_number": "713-521-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "DUNG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-521-0525"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289085701",
            "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 Jul 17, 2013; 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.