NPIMap

Organization Active NPI

Waterway LDP PLLC

  • General Practice Dentistry
  • The Woodlands, TX
National Provider Identifier
1639568207
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WATERWAY LDP PLLC
Doing business as
Waterway Dental Care
Practice address
26219 Interstate 45
The Woodlands, TX 77380-1903
Phone
(281) 367-3689
Fax
(281) 367-3690
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Nathan Muaina
Title
Owner
Phone
(513) 633-4219

Specialties & licenses 1

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

Addresses

Primary practice location

26219 Interstate 45
The Woodlands, TX 77380-1903

Mailing address

26219 Interstate 45
The Woodlands, TX 77380-1903
Phone (281) 367-3689

Other names 1

  • Waterway Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1639568207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26219 INTERSTATE 45",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801903",
            "telephone_number": "281-367-3689",
            "fax_number": "281-367-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26219 INTERSTATE 45",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801903",
            "telephone_number": "281-367-3689",
            "fax_number": "281-367-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERWAY LDP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "MUAINA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-633-4219",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterway Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.