NPIMap

Organization Active NPI

La Porte Family Dental, PLLC

  • Dentist
  • La Porte, TX
National Provider Identifier
1659749075
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27316 Issued in TX
Legal business name
LA PORTE FAMILY DENTAL, PLLC
Practice address
8401 W Fairmont Pkwy
La Porte, TX 77571-4418
Phone
(281) 542-9772
Fax
(281) 542-9774
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Shieva Molavi, D.D.SNPI 1518240878
Title
Dentist
Phone
(281) 542-9772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 27316 TX Primary

Addresses

Primary practice location

8401 W Fairmont Pkwy
La Porte, TX 77571-4418

Mailing address

8401 W Fairmont Pkwy
La Porte, TX 77571-4418
Phone (281) 542-9772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1659749075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 W FAIRMONT PKWY",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714418",
            "telephone_number": "281-542-9772",
            "fax_number": "281-542-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 W FAIRMONT PKWY",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714418",
            "telephone_number": "281-542-9772",
            "fax_number": "281-542-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PORTE FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "MOLAVI",
        "authorized_official_first_name": "SHIEVA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-542-9772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.