Organization Active NPI

Skilled Dental Care P.a.

  • General Practice Dentistry
  • Missouri City, TX
National Provider Identifier
1871950329
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25131 Issued in TX
Legal business name
SKILLED DENTAL CARE P.A.
Practice address
2849 Dulles Ave
Missouri City, TX 77459-2950
Phone
(917) 664-1912
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Syed M. Naseer, DDSNPI 1396077368
Title
President
Phone
(917) 664-1912

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25131 TX Primary

Addresses

Primary practice location

2849 Dulles Ave
Missouri City, TX 77459-2950

Mailing address

2849 Dulles Ave
Missouri City, TX 77459-2950
Phone (917) 664-1912

Other identifiers 1

IdentifierTypeStateIssuer
209126611MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171227000006 TX Part B Supplier - Clinic/Group Practice 8224396148 Receives reassigned benefits from 1 practitioner
Practice locations: Missouri City, TX

National Provider Directory

National Provider Directory

Locations

2849 Dulles Ave
Missouri City, TX 77459
Phone (281) 261-7721

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1871950329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 DULLES AVE",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592950",
            "telephone_number": "917-664-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 DULLES AVE",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592950",
            "telephone_number": "917-664-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED DENTAL CARE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "NASEER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-664-1912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209126611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.