Organization Active NPI

Brite Dental Center Inc.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1659644086
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRITE DENTAL CENTER INC.
Practice address
15002 Ella Blvd
Suite 42
Houston, TX 77090-5621
Phone
(281) 872-9696
Fax
(281) 872-9699
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Reza Baharloo, D.D.S.
Title
Owner
Phone
(281) 872-9696

Specialties & licenses 1

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

Addresses

Primary practice location

15002 Ella Blvd
Suite 42
Houston, TX 77090-5621

Mailing address

15002 Ella Blvd
Suite 42
Houston, TX 77090-5621
Phone (281) 872-9696

Other identifiers 1

IdentifierTypeStateIssuer
135076110MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1659644086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 ELLA BLVD",
            "address_2": "SUITE 42",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905621",
            "telephone_number": "281-872-9696",
            "fax_number": "281-872-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 ELLA BLVD",
            "address_2": "SUITE 42",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770905621",
            "telephone_number": "281-872-9696",
            "fax_number": "281-872-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITE DENTAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "BAHARLOO",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-872-9696",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135076110",
            "state": "TX"
        }
    ],
    "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 Feb 15, 2012; 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.