Altus Dental P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20196 Issued in TX

Legal business name

ALTUS DENTAL P.A.

Doing business as

Altus Dental

Practice address

4508 Garth Rd
Suite#a
Baytown, TX 77521-2154

Phone

(281) 427-5100

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By 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

Dr. Soroush Esfandiari, D.D.SNPI 1801940077

Title

Director

Phone

(713) 667-9311

Specialties & licenses 1

Addresses

Other names 1

• Altus Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soroush Esfandiari, D.D.S

  • Dentist
  • Houston, TX
  • NPI 1801940077
  Authorized official Same address or phone

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1659610020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 SHADOW CREEK PKWY",
            "address_2": "SUITE #313",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 GARTH RD",
            "address_2": "SUITE#A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212154",
            "telephone_number": "281-427-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "ESFANDIARI",
        "authorized_official_first_name": "SOROUSH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-667-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altus Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alliance Dentists
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• Altus Dental Care, PA
• Altus Radiation Oncology (Baytown) LP
• Altus Women's Center of Baytown, L.P.
• Miriam Amaya, NP-C
• Ambika Medical Group P.a
• Hailey Briana Ambrose

• General Practice Dentistry in Baytown, TX
• Providers in Baytown, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.