Fabiola Sosa-Banda, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

32476 Issued in TX

Practice address

11707 W Airport Blvd.
Suite 103
Meadows Place, TX 77477

Phone

(832) 977-5203

Fax

(832) 500-4334

NPI assigned

Oct 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fabsmiles Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Meadows Place, TX
  • NPI 1275203911
  NPD Authorized official
• Shilpa Chandiwal DDS, PLLC

  • Pediatric Dentistry
  • Sugar Land, TX
  • NPI 1295084820
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1669922738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CHESSWOOD CIR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786014",
            "telephone_number": "713-819-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 W AIRPORT BLVD.",
            "address_2": "SUITE 103",
            "city": "MEADOWS PLACE",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "832-977-5203",
            "fax_number": "832-500-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6336 Telephone Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770875410",
            "country_code": "US",
            "telephone_number": "713-999-3527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4907 Sandhill Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774795352",
            "country_code": "US",
            "telephone_number": "713-955-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4907 Sandhill Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774795352",
            "country_code": "US",
            "telephone_number": "713-955-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4907 Sandhill Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "77479",
            "country_code": "US",
            "telephone_number": "713-955-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA-BANDA",
        "first_name": "FABIOLA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oladayo Oni
• Premier Health Services Company,LLC
• Primetouch LLC
• Joby George Samuel, PHARM D.
• Select Senior Clinics of Texas,LLC
• St Monica Healthcare Services Inc
• Shalayna Tomlin, PHARM D.
• United Diagnostics LP
• Walgreen Co

• All providers in Meadows Place, TX
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.