Organization Active NPI

Texas Family Dentistry PLLC

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1679249635
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TEXAS FAMILY DENTISTRY PLLC
Practice address
11000 Fondren Rd Ste 105
Houston, TX 77096-5513
Phone
(713) 680-1800
Fax
(281) 499-3197
NPI assigned
Aug 19, 2021
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Shervin Amini
Title
Credentialing Manager
Phone
(713) 647-8199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

11000 Fondren Rd Ste 105
Houston, TX 77096-5513

Mailing address

11000 Fondren Rd Ste 105
Houston, TX 77096-5513
Phone (713) 680-1800

National Provider Directory

National Provider Directory
Tax ID family
Texas Family Dentistry PLLC2 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

11000 Fondren Rd
Ste 105
Houston, TX 77096
Phone (713) 680-1800

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1679249635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 FONDREN RD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965513",
            "telephone_number": "713-680-1800",
            "fax_number": "281-499-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 FONDREN RD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965513",
            "telephone_number": "713-680-1800",
            "fax_number": "281-499-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "713-647-8199"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "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 Aug 19, 2021; 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.