Organization Active NPI

GH Radford DDS & Assoc., Inc

  • Pediatric Dentistry
  • Pearland, TX
National Provider Identifier
1790417111
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
GH RADFORD DDS & ASSOC., INC
Practice address
9330 Broadway St Ste 320B
Pearland, TX 77584-7895
Phone
(713) 340-0625
Fax
(713) 340-1881
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Phyllis Preston
Title
Office Credentialing Specialist
Phone
(713) 291-3474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9330 Broadway St Ste 320B
Pearland, TX 77584-7895

Mailing address

3216 Oakmont St
Houston, TX 77021-1131
Phone (832) 723-5052

National Provider Directory

National Provider Directory

Locations

9330 Broadway St
Ste 320B
Pearland, TX 77584
Phone (713) 340-0625

Practitioners & affiliated clinicians

Practitioners 1

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": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1790417111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 OAKMONT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211131",
            "telephone_number": "832-723-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 BROADWAY ST STE 320B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847895",
            "telephone_number": "713-340-0625",
            "fax_number": "713-340-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GH RADFORD DDS & ASSOC., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OFFICE CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "713-291-3474"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.