Organization Active NPI

Midtown MTD LLC

  • Prosthodontics
  • Houston, TX
National Provider Identifier
1881133700
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18415 Issued in TX
Legal business name
MIDTOWN MTD LLC
Practice address
315 Westheimer Rd
Houston, TX 77006-3129
Phone
(713) 322-6666
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Jonathan Penchas, DDS
Title
Owner
Phone
(713) 322-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18415 TX Primary

Addresses

Primary practice location

315 Westheimer Rd
Houston, TX 77006-3129

Mailing address

315 Westheimer Rd
Houston, TX 77006-3129
Phone (713) 322-6666

National Provider Directory

National Provider Directory

Locations

315 Westheimer Rd
Houston, TX 77006
Phone (713) 322-6666

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1881133700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063129",
            "telephone_number": "713-322-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063129",
            "telephone_number": "713-322-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN MTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "PENCHAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-322-6666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "18415",
            "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 Feb 13, 2017; 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.