Organization Active NPI

Houston Dental Clinic LLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1669728333
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOUSTON DENTAL CLINIC LLC
Practice address
9644 Court Glen Dr
Houston, TX 77099-2541
Phone
(832) 283-6264
Fax
(281) 530-3603
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Ms. Sahar Mahmoodpour, MBR
Title
Owner
Phone
(832) 283-6264

Specialties & licenses 1

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

Addresses

Primary practice location

9644 Court Glen Dr
Houston, TX 77099-2541

Mailing address

9644 Court Glen Dr
Houston, TX 77099-2541
Phone (832) 283-6264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1669728333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9644 COURT GLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992541",
            "telephone_number": "832-283-6264",
            "fax_number": "281-530-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 COURT GLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992541",
            "telephone_number": "832-283-6264",
            "fax_number": "281-530-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "MAHMOODPOUR",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-283-6264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 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.