Jason R. Brock DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

28465 Issued in TX

Legal business name

JASON R. BROCK DDS, PLLC

Practice address

17150 El Camino Real
Houston, TX 77058-2738

Phone

(281) 461-7470

NPI assigned

Jul 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jason Brock, DDS

Title

Owner

Phone

(281) 461-7470

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499040000000",
    "number": "1720509482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818A YALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071538",
            "telephone_number": "323-273-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582738",
            "telephone_number": "281-461-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R. BROCK DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-461-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Jaso, M.D.
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• Jason James, M.D., PLLC
• Jason R Bailey MD PA
• Jason Z.W. Powers, M.D. PA
• Sharon Rose Jason
• Silvia Veronica Jason, LMFT
• Trista Jason
• Jason'S Touch Family Caring Center LLC

• 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 Jul 3, 2017; 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.