Organization Active NPI

Emerald Venture

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1699065037
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMERALD VENTURE
Practice address
11602 Veterans Memorial Dr
Suite E
Houston, TX 77067-2606
Phone
(713) 382-9893
Fax
(713) 382-9893
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
A Pham
Title
Secretary
Phone
(713) 382-9893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11602 Veterans Memorial Dr
Suite E
Houston, TX 77067-2606

Mailing address

PO Box 293
Barker, TX 77413-0293

National Provider Directory

National Provider Directory

Locations

11602 Veterans Memorial Dr
Ste E
Houston, TX 77067
Phone (713) 382-9893

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1699065037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "BARKER",
            "state": "TX",
            "postal_code": "774130293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 VETERANS MEMORIAL DR",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672606",
            "telephone_number": "713-382-9893",
            "fax_number": "713-382-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD VENTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "713-382-9893"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "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 Apr 19, 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.