Individual provider Active NPI

Amena Tamkenath

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1881079580
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31210 Issued in TX
Practice address
14829 Bellaire Blvd Ste 1B
Houston, TX 77083-2500
Phone
(281) 495-7018
NPI assigned
Jul 23, 2015
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31210 TX Primary

Addresses

Primary practice location

14829 Bellaire Blvd Ste 1B
Houston, TX 77083-2500

Mailing address

17111 Winter Hedge CT
Richmond, TX 77407-2602
Phone (205) 563-4843

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200717001784 TX Practitioner - Dentist 0042634438 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Limra Dental PLLC CurrentSince Jun 28, 2020 Accepting new patients

Locations

14829 Bellaire Blvd
Ste 1B
Houston, TX 77083
Phone (281) 495-7018

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1881079580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 WINTER HEDGE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072602",
            "telephone_number": "205-563-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14829 BELLAIRE BLVD STE 1B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832500",
            "telephone_number": "281-495-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMKENATH",
        "first_name": "AMENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.