Dutton Lewis Family Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17982 Issued in TX

Legal business name

DUTTON LEWIS FAMILY DENTAL

Practice address

4418 Almeda Rd
Houston, TX 77004-4902

Phone

(713) 633-5717

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Melonie Rachel Dutton, D.D.S. (PEDIATRICS)

Title

Owner

Phone

(713) 633-5717

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1710155080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 ALMEDA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770044902",
            "telephone_number": "713-633-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 ALMEDA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770044902",
            "telephone_number": "713-633-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTTON LEWIS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-633-5717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. (PEDIATRICS)"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17982",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "17982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "G60405-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149758801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01367667",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Rose Duterte
• Osmani Dutil Driggs, FNP C
• Amy Dutko
• Gurnoor Dutt, DDS
• Puja Manojit Dutta, M.D.
• Amanda Dennice Duty, APRN
• Nikea S. Duty, AGACNP-BC
• Amber Duvall, M.C.D., CCC-SLP
• Lucas Maier Duvall, MD
• Melanie Duvall, COTA

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.