Organization Active NPI

New Teeth Dental Houston GPS PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1821894270
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEW TEETH DENTAL HOUSTON GPS PLLC
Practice address
4005 Broadway St
Houston, TX 77087-4703
Phone
(713) 644-4331
NPI assigned
Feb 24, 2025
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Dr. Brad Jetton
Title
Owner
Phone
(713) 644-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4005 Broadway St
Houston, TX 77087-4703

Mailing address

4005 Broadway St
Houston, TX 77087-4703
Phone (713) 644-4331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1821894270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "713-644-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874703",
            "telephone_number": "713-644-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TEETH DENTAL HOUSTON GPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "JETTON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-644-4331",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 14, 2026; 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.