Organization Active NPI

Grinovation Park West PLLC

  • Dentist
  • Houston, TX
National Provider Identifier
1871322826
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GRINOVATION PARK WEST PLLC
Practice address
13180 Westpark Dr Ste 106
Houston, TX 77082-4936
Phone
(281) 759-9191
Fax
(281) 759-9197
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Hariyali KasundraNPI 1114590981
Title
General Dentist
Phone
(860) 944-7480

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13180 Westpark Dr Ste 106
Houston, TX 77082-4936

Mailing address

13180 Westpark Dr Ste 106
Houston, TX 77082-4936
Phone (281) 759-9191

National Provider Directory

National Provider Directory

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": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1871322826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13180 WESTPARK DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770824936",
            "telephone_number": "281-759-9191",
            "fax_number": "281-759-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 WESTPARK DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770824936",
            "telephone_number": "281-759-9191",
            "fax_number": "281-759-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINOVATION PARK WEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "KASUNDRA",
        "authorized_official_first_name": "HARIYALI",
        "authorized_official_title_or_position": "GENERAL  DENTIST",
        "authorized_official_telephone_number": "860-944-7480"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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 Jul 29, 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.