Organization Active NPI

Charmdental

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1811437684
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30231 Issued in TX
Legal business name
CHARMDENTAL
Practice address
3403 Louetta Rd
Suite B
Spring, TX 77388-4868
Phone
(201) 214-5136
NPI assigned
Feb 27, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Radhika Shah, DDSNPI 1023424579
Title
Dentist
Phone
(201) 214-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30231 TX Primary

Addresses

Primary practice location

3403 Louetta Rd
Suite B
Spring, TX 77388-4868

Mailing address

5250 Brownway St
Apt 2111
Houston, TX 77056-4932
Phone (201) 214-5137

National Provider Directory

National Provider Directory

Locations

3403 Louetta Rd
Ste B
Spring, TX 77388
Phone (201) 214-5136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1811437684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 BROWNWAY ST",
            "address_2": "APT 2111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564932",
            "telephone_number": "201-214-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 LOUETTA RD",
            "address_2": "SUITE B",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884868",
            "telephone_number": "201-214-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARMDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-214-5137",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.