Ivette Diaz, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

20798 Issued in TX

Practice address

1901 Kirby St
Suite 103
Pearland, TX 77584-5704

Phone

(713) 436-8988

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abc123 Pediatric Dentistry, PA

  • Pediatric Dentistry
  • Pearland, TX
  • NPI 1699914705
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1871643312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 KIRBY ST",
            "address_2": "SUITE 103",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845704",
            "telephone_number": "713-436-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 KIRBY ST",
            "address_2": "SUITE 103",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845704",
            "telephone_number": "713-436-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "IVETTE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farid Dian, DMD
• Irene Samantha Diango
• Dianne Bui Dao OD PC (Today's Vision)
• Diaz Bernhard Inc.
• Alyssa Diaz
• Maria Diaz
• Rafael Roberto Diaz, MD.CSA
• Stephanie Shafer Diaz, PT
• Grace Dickson
• Janelle Dickson, OTR

• Pediatric Dentistry in Pearland, TX
• Providers in Pearland, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.