Organization Active NPI

Prime Dental Care USA Spring Texas PLLC

  • Dentist
  • Spring, TX
National Provider Identifier
1851109250
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRIME DENTAL CARE USA SPRING TEXAS PLLC
Practice address
25114 Grogans Mill Rd Ste D
Spring, TX 77380-2360
Phone
(832) 650-0553
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Fady N Guirguis, DDSNPI 1053657577
Title
Ower/President/Ceo/Dentist
Phone
(917) 602-3213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

25114 Grogans Mill Rd Ste D
Spring, TX 77380-2360

Mailing address

25114 Grogans Mill Rd Ste D
Spring, TX 77380-2360
Phone (832) 650-0553

National Provider Directory

National Provider Directory

Locations

25114 Grogans Mill Rd
Ste D
Spring, TX 77380
Phone (281) 296-7600

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": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1851109250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25114 GROGANS MILL RD STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802360",
            "telephone_number": "832-650-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25114 GROGANS MILL RD STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802360",
            "telephone_number": "832-650-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DENTAL CARE USA SPRING TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "FADY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWER/PRESIDENT/CEO/DENTIST",
        "authorized_official_telephone_number": "917-602-3213",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "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 Dec 19, 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.