South Houston Endodontics, P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

23420 Issued in TX

Legal business name

SOUTH HOUSTON ENDODONTICS, P.A.

Practice address

10905 Memorial Hermann Dr
Suite 205
Pearland, TX 77584-3490

Phone

(281) 416-4024

Fax

(281) 416-4521

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Kevin K Sameti, D.D.S.

Title

President

Phone

(281) 416-4024

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1699100834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR",
            "address_2": "SUITE 205",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "281-416-4024",
            "fax_number": "281-416-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR",
            "address_2": "SUITE 205",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "281-416-4024",
            "fax_number": "281-416-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOUSTON ENDODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "SAMETI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-416-4024",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "23420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Pearland, TX
• Providers in Pearland, TX by specialty
• Endodontics in Texas

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