Wirt MTD LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

18415 Issued in TX

Legal business name

WIRT MTD LLC

Practice address

1014 Wirt Rd
Ste 240
Houston, TX 77055-6883

Phone

(713) 322-6666

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan Penchas, DMD

Title

Owner

Phone

(713) 322-1111

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.

• Alice Guyue Liu, DMD

  • Dentist
  • Houston, TX
  • NPI 1588178263
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1790225506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WIRT RD",
            "address_2": "STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556883",
            "telephone_number": "713-322-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WIRT RD",
            "address_2": "STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556883",
            "telephone_number": "713-322-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRT MTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "PENCHAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-322-1111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "18415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Wippel, MD
• Timothea Wiratman, APRN, PMHNP
• Brenda Wirba
• Natalie Wire
• Miranda Hodge Wirfel, PA-C
• Daniel Wirt
• Steven Z Wirt, OTR/L
• Stacey Lyn Wirtanen, D.C.
• John Orson Wirthlin, DDS
• Mary Wisbon, MD

• Prosthodontics in Houston, TX
• Providers in Houston, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.