Modern Touch Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MODERN TOUCH FAMILY DENTAL

Practice address

645 Woodland Oaks Dr BLDG 2
Schertz, TX 78154-2794

Phone

(512) 434-0732

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Hoda Ghanizadeh, DDSNPI 1689939480

Title

Dentist

Phone

(972) 821-2186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hoda Ghanizadeh, DDS

  • Dentist
  • Dallas, TX
  • NPI 1689939480
  NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1740944859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WOODLAND OAKS DR BLDG 2",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542794",
            "telephone_number": "972-821-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WOODLAND OAKS DR BLDG 2",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542794",
            "telephone_number": "512-434-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN TOUCH FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GHANIZADEH",
        "authorized_official_first_name": "HODA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-821-2186",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Lamar Miller, RN
• Jordan Gehde Miller, B.S.
• Kathryn J Miller, LPC
• Jesmarie Mirabal
• Amie Joy Mitchell, RBT
• Douglas William Montalvo, DPT
• Cassandra Judith Montemayor, DDS
• Matthew Ryan Montgomery, CNIM
• Madissen Montoya
• Maria Lillian Morales

• All providers in Schertz, TX
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.