Organization Active NPI

Fulton Dental Associates, PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1649264102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FULTON DENTAL ASSOCIATES, PA
Practice address
2445 Fulton St
Suite #B
Houston, TX 77009-7837
Phone
(713) 225-2266
Fax
(713) 225-2275
NPI assigned
Sep 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shannon Denise Presley, D.D.S.
Title
Owner
Phone
(713) 225-2266

Specialties & licenses 1

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

Addresses

Primary practice location

2445 Fulton St
Suite #B
Houston, TX 77009-7837

Mailing address

2445 Fulton St
Suite #B
Houston, TX 77009-7837
Phone (713) 225-2266

National Provider Directory

National Provider Directory

Locations

2445 Fulton St
#B
Houston, TX 77009
Phone (713) 225-2266

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649264102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 FULTON ST",
            "address_2": "SUITE #B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097837",
            "telephone_number": "713-225-2266",
            "fax_number": "713-225-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 FULTON ST",
            "address_2": "SUITE #B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097837",
            "telephone_number": "713-225-2266",
            "fax_number": "713-225-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-225-2266",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.