Organization Active NPI

P.S Dentistry, PLLC

  • General Practice Dentistry
  • Brookshire, TX
National Provider Identifier
1699588632
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
P.S DENTISTRY, PLLC
Practice address
2506 Jordan Ranch Blvd.
Suite 6
Brookshire, TX 77423
Phone
(847) 848-4824
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Radhwan Al SinawiNPI 1689024978
Title
DMD
Phone
(847) 848-4824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2506 Jordan Ranch Blvd.
Suite 6
Brookshire, TX 77423

Mailing address

11210 Puckett River Dr
Cypress, TX 77433-0237
Phone (847) 848-4824

National Provider Directory

National Provider Directory

Locations

2506 Jordan Ranch Blvd
Ste 6
Brookshire, TX 77423
Phone (847) 848-4824

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": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1699588632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 PUCKETT RIVER DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330237",
            "telephone_number": "847-848-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 JORDAN RANCH BLVD.",
            "address_2": "SUITE 6",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "77423",
            "telephone_number": "847-848-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.S DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "AL SINAWI",
        "authorized_official_first_name": "RADHWAN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "847-848-4824"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookshire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.