Organization Active NPI

American Modern Dental

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1730719345
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.