Organization Active NPI

Usparkle Dental PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1750818159
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
USPARKLE DENTAL PA
Practice address
1013 Dairy Ashford Rd
Houston, TX 77079-4602
Phone
(832) 781-0462
Fax
(832) 770-9366
NPI assigned
May 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Dr. Kamila Husain
Title
Managing Director
Phone
(832) 781-0462

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23488 TX
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1013 Dairy Ashford Rd
Houston, TX 77079-4602

Mailing address

1013 Dairy Ashford Rd
Houston, TX 77079-4602
Phone (832) 781-0462

Other identifiers 1

IdentifierTypeStateIssuer
1699944660MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
U Sparkle Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1750818159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "832-781-0462",
            "fax_number": "832-770-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DAIRY ASHFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794602",
            "telephone_number": "832-781-0462",
            "fax_number": "832-770-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USPARKLE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "KAMILA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "832-781-0462",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23488",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699944660",
            "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 May 16, 2017; 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.