Organization Active NPI

Ron Elmore DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1740443753
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12963 Issued in TX
Legal business name
RON ELMORE DDS
Practice address
1389 West Gulf Bank
Houston, TX 77088
Phone
(281) 591-0401
Fax
(281) 591-0185
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Ron Elmore, DDS
Title
General Dentist
Phone
(281) 591-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12963 TX Primary

Addresses

Primary practice location

1389 West Gulf Bank
Houston, TX 77088

Mailing address

PO Box 38578
Houston, TX 77238
Phone (281) 591-0401

Other identifiers 1

IdentifierTypeStateIssuer
008177001MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1740443753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38578",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77238",
            "telephone_number": "281-591-0401",
            "fax_number": "281-591-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 WEST GULF BANK",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77088",
            "telephone_number": "281-591-0401",
            "fax_number": "281-591-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON ELMORE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "281-591-0401",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008177001",
            "state": "TX"
        }
    ],
    "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 9, 2008; 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.