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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider Directory- Tax ID family
- Northwest Kids Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Northwest Kids Dental
- Dental Clinic/Center
- Oak Ridge North, TX
- NPI 1912480740
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
- Oak Forest Surgical Services, P.a.
- Oak Healthcare Services, Inc.
- Oak Healthcare Solution LLC
- Oak Hospice Care, Inc.
- Oak Leaf Behavioral Health
- Oak Shadows Allendale 1 LTD
- Oak Smiles Dental Group, PC (Royal Oaks Smiles Dental Group)
- Oak Tree Emergency Physicians PLLC
- Oak Tree Healthcare Inc
- Oakbend Medical Center (Montebello Wellness Center)
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.