H Hometown Enterprises, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23388 Issued in TX

Legal business name

H HOMETOWN ENTERPRISES, LLC

Doing business as

Mellow Dental

Practice address

14707 Eastex Fwy
Ste B
Humble, TX 77396-3206

Phone

(281) 312-0151

Fax

(281) 312-2577

NPI assigned

Jan 7, 2016

Last updated

Jan 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Courtney Thanh Ho, D.D.S.

Title

Owner

Phone

(281) 312-0151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mellow Dental Doing business as

Locations

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1811353741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 EASTEX FWY",
            "address_2": "STE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963206",
            "telephone_number": "281-312-0151",
            "fax_number": "281-312-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 EASTEX FWY",
            "address_2": "STE B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963206",
            "telephone_number": "281-312-0151",
            "fax_number": "281-312-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H HOMETOWN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-312-0151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033397757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mellow Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Ann Gutierrez, COTA/L
• Jeanette Gutierrez
• Carla Gutke, RDN LD
• Sneha Guwalani, DPT
• GZ Functional Health Solutions (GZ Functional Physical Therapy of Humble)
• H-E-B, LP (HEB Pharmacy #798)
• H-E-B, LP (HEB Pharmacy #498)
• H.S.W. Enterprise, PLLC
• Eboney Arnae' Hadnott, PHARMD
• Taelar Yvette Hagens

• General Practice Dentistry in Humble, TX
• Providers in Humble, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.