NPIMap

Organization Active NPI

Leon Xavier Foreman DDS, PLLC

Doing business as Icon Dental Center

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1689684417
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21521 Issued in TX
Legal business name
LEON XAVIER FOREMAN DDS, PLLC
Doing business as
Icon Dental Center
Practice address
6776 Southwest Freeway
Suite 252
Houston, TX 77074
Phone
(713) 266-2929
Fax
(713) 266-4602
NPI assigned
Aug 8, 2006
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Leon Foreman Jr., D.D.S.
Title
Owner
Phone
(713) 266-2929

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21521 TX Primary
General Practice Dentistry 1223G0001X 21095 TX
General Practice Dentistry 1223G0001X 21521 TX
Pediatric Dentistry 1223P0221X 23589 TX

Addresses

Primary practice location

6776 Southwest Freeway
Suite 252
Houston, TX 77074

Mailing address

6776 Southwest Freeway
Suite 252
Houston, TX 77074
Phone (713) 266-2929

Other names 1

  • Icon Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Floss Family Dentalcare Center2 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

6776 Southwest Fwy
Ste 252
Houston, TX 77074
Phone (713) 266-2929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1689684417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FREEWAY",
            "address_2": "SUITE 252",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-266-2929",
            "fax_number": "713-266-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FREEWAY",
            "address_2": "SUITE 252",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-266-2929",
            "fax_number": "713-266-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON XAVIER FOREMAN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-266-2929",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "21521",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21095",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21521",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icon Dental Center",
            "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 Sep 14, 2011; 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.