Organization Active NPI

Premiumsmile PLLC

  • Public Health Dentistry
  • Houston, TX
National Provider Identifier
1831978238
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
PREMIUMSMILE PLLC
Practice address
6421 W 43Rd St
Houston, TX 77092-4005
Phone
(832) 941-4010
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Philip Onyirimba
Title
Authorized Official
Phone
(469) 233-1987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

6421 W 43Rd St
Houston, TX 77092-4005

Mailing address

6421 W 43Rd St
Houston, TX 77092-4005

National Provider Directory

National Provider Directory

Locations

6421 W 43rd St
Houston, TX 77092
Phone (832) 941-4010

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1831978238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 W 43RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770924005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 W 43RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770924005",
            "telephone_number": "832-941-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUMSMILE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ONYIRIMBA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-233-1987"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "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 Sep 25, 2023; 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.