Individual provider Active NPI

Hedieh Pournik, D.D.S

  • Dentist
  • Porter, TX
National Provider Identifier
1689879025
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21019 Issued in TX
Practice address
23741 Highway 59
Suite 1
Porter, TX 77365-5388
Phone
(281) 354-1197
Fax
(281) 354-2691
NPI assigned
Jun 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21019 TX Primary

Addresses

Primary practice location

23741 Highway 59
Suite 1
Porter, TX 77365-5388

Mailing address

23741 Highway 59 Ste 1
Porter, TX 77365-5393
Phone (281) 354-1197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21019TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hedieh Pournik DDS PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1689879025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23741 HIGHWAY 59 STE 1",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655393",
            "telephone_number": "281-354-1197",
            "fax_number": "281-354-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23741 HIGHWAY 59",
            "address_2": "SUITE 1",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655388",
            "telephone_number": "281-354-1197",
            "fax_number": "281-354-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURNIK",
        "first_name": "HEDIEH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-16",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.