Organization Active NPI

Pine Tree a and D

  • Alzheimer Center (Dementia Center)
  • Pasadena, TX
National Provider Identifier
1710057906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
116602 Issued in TX
Legal business name
PINE TREE A AND D
Practice address
2514 Pansy St
Pasadena, TX 77503-3926
Phone
(281) 487-3113
Fax
(281) 487-5818
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deann Muse
Title
Administrator
Phone
(281) 487-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 116602 TX Primary

Addresses

Primary practice location

2514 Pansy St
Pasadena, TX 77503-3926

Mailing address

5128 Pine Ave
Pasadena, TX 77503-3765
Phone (281) 487-3113

National Provider Directory

National Provider Directory

Locations

2514 Pansy St
Pasadena, TX 77503
Phone (281) 487-3113

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710057906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 PINE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033765",
            "telephone_number": "281-487-3113",
            "fax_number": "281-487-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 PANSY ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033926",
            "telephone_number": "281-487-3113",
            "fax_number": "281-487-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TREE A AND D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "DEANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-487-3113",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "116602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.