Organization Active NPI

Snan LP

Doing business as Dental Illusions

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1669622312
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18759 Issued in TX
Legal business name
SNAN LP
Doing business as
Dental Illusions
Practice address
13303 Champion Forest Drive
Building #5
Houston, TX 77069
Phone
(281) 444-1755
Fax
(281) 444-1314
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. George E Salba, DDS
Title
Managing Partner
Phone
(281) 444-1755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18759 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19369 TX

Addresses

Primary practice location

13303 Champion Forest Drive
Building #5
Houston, TX 77069

Mailing address

13303 Champion Forest Drive
Building #5
Houston, TX 77069
Phone (281) 444-1755

Other names 1

  • Dental Illusions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1669622312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 CHAMPION FOREST DRIVE",
            "address_2": "BUILDING #5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77069",
            "telephone_number": "281-444-1755",
            "fax_number": "281-444-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 CHAMPION FOREST DRIVE",
            "address_2": "BUILDING #5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77069",
            "telephone_number": "281-444-1755",
            "fax_number": "281-444-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAN LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "SALBA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-444-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18759",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Illusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2008; 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.