Organization Active NPI

Foundation Endodontics PLLC

  • Endodontics
  • Richmond, TX
National Provider Identifier
1689166415
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
32411 Issued in TX
Legal business name
FOUNDATION ENDODONTICS PLLC
Practice address
7830 W Grand Pkwy S Ste 295
Richmond, TX 77406-5816
Phone
(281) 961-0961
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Dr. Mina Rizk, BDS, MSD
Title
Owner
Phone
(713) 805-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 32411 TX Primary

Addresses

Primary practice location

7830 W Grand Pkwy S Ste 295
Richmond, TX 77406-5816

Mailing address

3255 Las Palmas St Apt 545
Houston, TX 77027-5779
Phone (713) 805-7080

Other identifiers 1

IdentifierTypeStateIssuer
1821497470OtherTXNPI

National Provider Directory

National Provider Directory

Locations

7830 W Grand Pkwy S
Ste 295
Richmond, TX 77406
Phone (281) 961-0961

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1689166415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 LAS PALMAS ST APT 545",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275779",
            "telephone_number": "713-805-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 W GRAND PKWY S STE 295",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065816",
            "telephone_number": "281-961-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "RIZK",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-805-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "32411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821497470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.