Julio Gaitan D.D.S., P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JULIO GAITAN D.D.S., P.A.

Doing business as

Lake Houston Endodontics

Practice address

19100 W Lake Houston Pkwy
Suite 103
Humble, TX 77346-5138

Phone

(214) 300-1427

NPI assigned

Apr 22, 2015

Last updated

Apr 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julio Gaitan, D.D.SNPI 1043225428

Title

Owner

Phone

(214) 796-8130

Specialties & licenses 1

Addresses

Other names 1

• Lake Houston Endodontics Doing business as

Locations

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.

• Julio Rafael Gaitan, D.D.S.

  • Endodontics
  • Houston, TX
  • NPI 1043225428
  NPD (past) Authorized official

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1871980318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N CRIMSON CLOVER CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773813887",
            "telephone_number": "214-796-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 W LAKE HOUSTON PKWY",
            "address_2": "SUITE 103",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465138",
            "telephone_number": "214-300-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO GAITAN D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GAITAN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-796-8130",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Houston Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyous Unique Care LLC
• Jonelle Jozwiak
• Bartosz Pawel Jozwik, M.D.
• Juan Carlos Zubieta MD MPH PLLC
• Malak Juarez, APRN
• Justin Keith Juneau, PTA
• Just Braces of Texas, PLLC
• Just Divine Mediclinic & Medispa ,LLC
• Lauren Brooke Justice
• Jveb Enterprises, PLLC

• Endodontics in Humble, TX
• Providers in Humble, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.