M & a Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

28590 Issued in TX

Legal business name

M & A DENTAL PC

Doing business as

Tidwell Family Dental

Practice address

13526 Tidwell Rd
200
Houston, TX 77044-1552

Phone

(714) 683-2970

NPI assigned

Jan 23, 2015

Last updated

Jan 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abtin Rahimian

Title

Owner

Phone

(949) 309-1042

Specialties & licenses 1

Addresses

Other names 1

• TIDWELL FAMILY DENTAL Doing business as

Locations

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1649660051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13526 TIDWELL RD",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770441552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13526 TIDWELL RD",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770441552",
            "telephone_number": "714-683-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & A DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "RAHIMIAN",
        "authorized_official_first_name": "ABTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-309-1042"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIDWELL FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.