Organization Active NPI

Altus Dental Surgery Houston, PA

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1801205216
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ALTUS DENTAL SURGERY HOUSTON, PA
Doing business as
Altus Dental Surgery Center Houston
Practice address
9901 Town Park Dr
Houston, TX 77036-2343
Phone
(281) 427-5100
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Poorang Pahlavan, DDS
Title
Owner
Phone
(281) 427-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9901 Town Park Dr
Houston, TX 77036-2343

Mailing address

4508 Garth Rd
Suite a
Baytown, TX 77521-2154

Other names 1

  • Altus Dental Surgery Center Houston Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1801205216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 GARTH RD",
            "address_2": "SUITE A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 TOWN PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362343",
            "telephone_number": "281-427-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS DENTAL SURGERY HOUSTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "PAHLAVAN",
        "authorized_official_first_name": "POORANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-427-5100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altus Dental Surgery Center Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2014; 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.