Organization Active NPI

Oak Ridge North Robinson Road Dental PC

Doing business as Northwest Pediatric Dental--Red Oak

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1679046155
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OAK RIDGE NORTH ROBINSON ROAD DENTAL PC
Doing business as
Northwest Pediatric Dental--Red Oak
Practice address
17222 Red Oak Dr Ste 104
Houston, TX 77090-2614
Phone
(281) 586-4600
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Gina Abrotsky
Title
Credentialing Specialist
Phone
(720) 603-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

17222 Red Oak Dr Ste 104
Houston, TX 77090-2614

Mailing address

17222 Red Oak Dr Ste 104
Houston, TX 77090-2614

Other names 1

  • NORTHWEST PEDIATRIC DENTAL--RED OAK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Kids Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17222 Red Oak Dr
Ste 104
Houston, TX 77090
Phone (281) 583-4600

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1679046155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 RED OAK DR STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 RED OAK DR STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902614",
            "telephone_number": "281-586-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE NORTH ROBINSON ROAD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "ABROTSKY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4788"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST PEDIATRIC DENTAL--RED OAK",
            "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 Jan 7, 2019; 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.