NPIMap

Organization Active NPI

Ab Dental Katy

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1740862077
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AB DENTAL KATY
Doing business as
Nassau Bay Dental
Practice address
2200 Space Park Dr Ste 208
Houston, TX 77058-3679
Phone
(281) 335-5577
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Funmi Abosede, DMD
Title
Owner
Phone
(281) 335-5577

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Space Park Dr Ste 208
Houston, TX 77058-3679

Mailing address

2200 Space Park Dr Ste 208
Houston, TX 77058-3679

Other names 1

  • Nassau Bay Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1740862077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR STE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR STE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583679",
            "telephone_number": "281-335-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB DENTAL KATY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "ABOSEDE",
        "authorized_official_first_name": "FUNMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-335-5577",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nassau Bay 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 Apr 26, 2021; 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.