Organization Active NPI

Uptown Dentistry, P.C.

  • Dentist
  • Houston, TX
National Provider Identifier
1720682289
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UPTOWN DENTISTRY, P.C.
Practice address
4900 Woodway Dr Ste 730
Houston, TX 77056-1847
Phone
(713) 963-9191
NPI assigned
Nov 25, 2020
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Dr. Farnaz Nicki Tajalli, D.D.S.NPI 1285643692
Title
President
Phone
(713) 963-9191

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
Dental Clinic/Center 261QD0000X NU

Addresses

Primary practice location

4900 Woodway Dr Ste 730
Houston, TX 77056-1847

Mailing address

4900 Woodway Dr Ste 730
Houston, TX 77056-1847
Phone (713) 963-9191

National Provider Directory

National Provider Directory

Locations

4900 Woodway Dr
Ste 730
Houston, TX 77056
Phone (713) 963-9191

Practitioners & affiliated clinicians

Practitioners 2

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": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1720682289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WOODWAY DR STE 730",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561847",
            "telephone_number": "713-963-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WOODWAY DR STE 730",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561847",
            "telephone_number": "713-963-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "TAJALLI",
        "authorized_official_first_name": "FARNAZ",
        "authorized_official_middle_name": "NICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-963-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.