Active NPI
American Modern Dental
- Dental Clinic/Center
- Houston, TX
National Provider Identifier
1730719345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- AMERICAN MODERN DENTAL
- Doing business as
- American Modern Dental
- Practice address
- 5440 El Dorado Blvd Ste 1600
Houston, TX 77059-5021 - Phone
- (281) 990-1001
- Fax
- (281) 990-1002
- NPI assigned
- Jan 22, 2020
- Last updated
- Feb 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharareh Niknam
- Title
- Member
- Phone
- (281) 990-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5440 El Dorado Blvd Ste 1600
Houston, TX 77059-5021
Mailing address
5440 El Dorado Blvd Ste 1600
Houston, TX 77059-5021
Phone (281) 990-1001
Other names 1
- American Modern Dental
National Provider Directory
National Provider DirectoryLocations
5440 El Dorado Blvd
Ste 1600
Houston, TX 77059
Phone (281) 943-9227
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.
-
- General Practice Dentistry
- Houston, TX
- NPI 1356725014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1730719345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 EL DORADO BLVD STE 1600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770595021",
"telephone_number": "281-990-1001",
"fax_number": "281-990-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 EL DORADO BLVD STE 1600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770595021",
"telephone_number": "281-990-1001",
"fax_number": "281-990-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN MODERN DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-22",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A",
"authorized_official_last_name": "NIKNAM",
"authorized_official_first_name": "SHARAREH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "281-990-1001"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "American Modern Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.