Organization Active NPI

Bishara Dental LLC

  • Dentist
  • Houston, TX
National Provider Identifier
1821432543
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25091 Issued in TX
Legal business name
BISHARA DENTAL LLC
Practice address
6060 Richmond Ave
Houston, TX 77057-6227
Phone
(702) 885-4311
NPI assigned
Apr 24, 2013
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Dr. Mena Bishara, DMDNPI 1093042582
Title
Dentist
Phone
(702) 885-4311

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
Dentist 122300000X 25091 TX Primary

Addresses

Primary practice location

6060 Richmond Ave
Houston, TX 77057-6227

Mailing address

6060 Richmond Ave
Houston, TX 77057-6227
Phone (702) 885-4311

National Provider Directory

National Provider Directory

Locations

6060 Richmond Ave
Houston, TX 77057
Phone (702) 885-4311

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": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1821432543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576227",
            "telephone_number": "702-885-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576227",
            "telephone_number": "702-885-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHARA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "MENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-885-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2013; 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.