Organization Active NPI

Contemporary Implantology Inc.

  • Periodontics
  • Houston, TX
National Provider Identifier
1790011138
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19749 Issued in TX
Legal business name
CONTEMPORARY IMPLANTOLOGY INC.
Practice address
902 Frostwood Dr Ste 203
Houston, TX 77024-2402
Phone
(713) 464-2792
Fax
(713) 464-4541
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. Syed Yusuf Shere, D,D,S., M.S.
Title
President
Phone
(713) 464-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 19749 TX Primary

Addresses

Primary practice location

902 Frostwood Dr Ste 203
Houston, TX 77024-2402

Mailing address

902 Frostwood Dr Ste 203
Houston, TX 77024-2402
Phone (713) 464-2792

Other identifiers 1

IdentifierTypeStateIssuer
170694703MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1790011138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242402",
            "telephone_number": "713-464-2792",
            "fax_number": "713-464-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242402",
            "telephone_number": "713-464-2792",
            "fax_number": "713-464-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY IMPLANTOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "SHERE",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-464-2792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D,S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "19749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170694703",
            "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 Mar 28, 2013; 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.