Organization Active NPI

Sun Dental Group

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1811166358
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22575 Issued in TX
Legal business name
SUN DENTAL GROUP
Practice address
12665 Bissonnet St
Houston, TX 77099-1331
Phone
(281) 495-8300
Fax
(281) 495-8301
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Davin Enoyoze Odia, DDS
Title
President
Phone
(281) 790-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22575 TX Primary

Addresses

Primary practice location

12665 Bissonnet St
Houston, TX 77099-1331

Mailing address

12665 Bissonnet St
Houston, TX 77099-1331
Phone (281) 495-8300

Other names 1

  • DAVIN E ODIA DDS P.A Former legal business name

National Provider Directory

National Provider Directory

Locations

12665 Bissonnet St
Houston, TX 77099
Phone (281) 495-8300

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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1811166358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991331",
            "telephone_number": "281-495-8300",
            "fax_number": "281-495-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991331",
            "telephone_number": "281-495-8300",
            "fax_number": "281-495-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ODIA",
        "authorized_official_first_name": "DAVIN",
        "authorized_official_middle_name": "ENOYOZE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-790-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIN E ODIA DDS P.A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 16, 2008; 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.