Organization Active NPI

Otten & Vakil Dental Services, PC

Doing business as Northwest General Dentistry

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1821159716
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OTTEN & VAKIL DENTAL SERVICES, PC
Doing business as
Northwest General Dentistry
Practice address
15614 FM 529 Rd
Houston, TX 77095-2706
Phone
(281) 856-6300
Fax
(281) 855-7785
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Rosa Nelly Torres
Title
Office Manager
Phone
(281) 856-6300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

15614 FM 529 Rd
Houston, TX 77095-2706

Mailing address

15614 FM 529 Rd
Houston, TX 77095-2706
Phone (281) 856-6300

Other names 1

  • Northwest General Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15614 FM 529 Rd
Houston, TX 77095
Phone (281) 855-7774

Practitioners & affiliated clinicians

Practitioners 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1821159716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 FM 529 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952706",
            "telephone_number": "281-856-6300",
            "fax_number": "281-855-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 FM 529 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952706",
            "telephone_number": "281-856-6300",
            "fax_number": "281-855-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTEN & VAKIL DENTAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "NELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-856-6300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest General Dentistry",
            "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 May 3, 2024; 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.