Organization Active NPI

Pearl Dentistry Humble PLLC

Doing business as Pearl Dentistry

  • General Practice Dentistry
  • Humble, TX
National Provider Identifier
1699541276
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEARL DENTISTRY HUMBLE PLLC
Doing business as
Pearl Dentistry
Practice address
11501 N Sam Houston Pkwy E Ste C
Humble, TX 77396-4635
Phone
(832) 648-7632
Fax
(832) 532-1904
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Ruben Lopez
Title
Chief Operating Officer
Phone
(832) 648-7632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11501 N Sam Houston Pkwy E Ste C
Humble, TX 77396-4635

Mailing address

507 N Sam Houston Pkwy E Ste 555
Houston, TX 77060-4152
Phone (832) 474-5406

Other names 1

  • Pearl Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1699541276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N SAM HOUSTON PKWY E STE 555",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604152",
            "telephone_number": "832-474-5406",
            "fax_number": "832-532-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 N SAM HOUSTON PKWY E STE C",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964635",
            "telephone_number": "832-648-7632",
            "fax_number": "832-532-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTISTRY HUMBLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "832-648-7632"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearl Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.