NPIMap

Organization Active NPI

Ge Dental PLLC

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1790140614
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22621 Issued in TX
Legal business name
GE DENTAL PLLC
Doing business as
Fair Lakes Family Dentistry
Practice address
15103 Mason Rd Ste B-8
Cypress, TX 77433-6752
Phone
(281) 712-2964
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Dr. Pierre Ghattas, D.D.S
Title
Owner/Dentist
Phone
(281) 712-2964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22621 TX Primary

Addresses

Primary practice location

15103 Mason Rd Ste B-8
Cypress, TX 77433-6752

Mailing address

15103 Mason Rd Ste B-8
Cypress, TX 77433-6752

Other names 1

  • Fair Lakes Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fair Lakes Family Dentistry2 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.

Locations

15103 Mason Rd
Ste B8
Cypress, TX 77433
Phone (281) 712-2964

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1790140614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15103 MASON RD STE B-8",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15103 MASON RD STE B-8",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336752",
            "telephone_number": "281-712-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-712-2964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Lakes Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.