Active NPI
Jean Poskus, DDS
- Dentist
- Humble, TX
National Provider Identifier
1649679713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13936
- Practice address
- 2350 Atascocita Rd
Humble, TX 77396-3503 - Phone
- (281) 454-5036
- Fax
- (281) 454-7258
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13936 | TX | Primary |
Addresses
Primary practice location
2350 Atascocita Rd
Humble, TX 77396-3503
Mailing address
2350 Atascocita Rd
Humble, TX 77396-3503
Phone (281) 454-5036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13936 | Other | TX | TEXAS DENTAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13936 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Point of Service
- Humble, TX
- NPI 1811394208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1649679713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 ATASCOCITA RD",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773963503",
"telephone_number": "281-454-5036",
"fax_number": "281-454-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 ATASCOCITA RD",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773963503",
"telephone_number": "281-454-5036",
"fax_number": "281-454-7258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSKUS",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "13936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DENTAL LICENSE NUMBER",
"identifier": "13936",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.