Active NPI
Altus Dental Surgery Houston, PA
- Pediatric Dentistry
- Houston, TX
National Provider Identifier
1801205216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.