Organization Active NPI

Montrose DDS PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1750922126
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MONTROSE DDS PLLC
Practice address
620 W Alabama St
Houston, TX 77006-5004
Phone
(713) 529-4364
Fax
(713) 529-4337
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Samuel Carrell, DDSNPI 1124422571
Title
Owner Dentist
Phone
(713) 529-4364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

620 W Alabama St
Houston, TX 77006-5004

Mailing address

620 W Alabama St
Houston, TX 77006-5004
Phone (713) 529-4364

National Provider Directory

National Provider Directory

Locations

620 W Alabama St
Houston, TX 77006
Phone (713) 529-4364

Practitioners & affiliated clinicians

Practitioners 2

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1750922126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065004",
            "telephone_number": "713-529-4364",
            "fax_number": "713-529-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065004",
            "telephone_number": "713-529-4364",
            "fax_number": "713-529-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "CARRELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "713-529-4364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 2020; 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.