La Michoacana Dental Clinic#3 LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

18185 Issued in TX

Legal business name

LA MICHOACANA DENTAL CLINIC#3 LLC

Practice address

6333 Barker Cypress Rd
Suite a
Houston, TX 77084-1625

Phone

(713) 691-1188

Fax

(713) 691-1196

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Adelina Pablos Monty, DDS

Title

Owner

Phone

(713) 691-1188

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Dominguez, D.D.S

  • Dentist
  • Houston, TX
  • NPI 1821583063
  NPD (past)

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1851641476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 BARKER CYPRESS RD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841625",
            "telephone_number": "713-691-1188",
            "fax_number": "713-691-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 BARKER CYPRESS RD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841625",
            "telephone_number": "713-691-1188",
            "fax_number": "713-691-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MICHOACANA DENTAL CLINIC#3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "MONTY",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_middle_name": "PABLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-691-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "18185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126781986",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saverio La Francesca, M.D.
• La Hacienda SCC LLC (La Hacienda Nursing & Rehab Center)
• La Khan Mdpa
• La Mansion Interests Inc (La Mancion Developmental Wellness Center)
• La Michoacana Dental Clinic LLC
• La Nueva Casa de Amigos (City of Houston)
• La Providence Medical Center
• La Providence Medical Center
• La Providence Pediatric and Family Clinics
• La Providence Pediatric and Family Clinics II

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.