Organization Active NPI

Houstonian Dental SW, P.a.

  • Dentist
  • Houston, TX
National Provider Identifier
1851732093
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HOUSTONIAN DENTAL SW, P.A.
Practice address
8535 West Bellfort Ave
Suite 110
Houston, TX 77071-2264
Phone
(713) 777-7778
Fax
(713) 988-2422
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Brianne Telemantez
Title
Business Manager
Phone
(713) 777-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8535 West Bellfort Ave
Suite 110
Houston, TX 77071-2264

Mailing address

8535 West Bellfort Ave
Suite 110
Houston, TX 77071-2264
Phone (713) 777-7778

Other identifiers 1

IdentifierTypeStateIssuer
323014601MedicaidTX

National Provider Directory

National Provider Directory

Locations

8535 W Bellfort Ave
Ste 110
Houston, TX 77071
Phone (713) 777-7778

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1851732093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 WEST BELLFORT AVE",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712264",
            "telephone_number": "713-777-7778",
            "fax_number": "713-988-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 WEST BELLFORT AVE",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712264",
            "telephone_number": "713-777-7778",
            "fax_number": "713-988-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTONIAN DENTAL SW, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "TELEMANTEZ",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "713-777-7778"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323014601",
            "state": "TX"
        }
    ],
    "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 Dec 29, 2021; 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.