Organization Active NPI

Godontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pearland, TX
National Provider Identifier
1881263150
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GODONTICS
Practice address
11625 Broadway St.
Suite #185
Pearland, TX 77584
Phone
(713) 955-4224
Fax
(713) 955-4399
NPI assigned
Jun 22, 2021
Organization subpart
Yes
Parent organization
GODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Mr. Craig S Hicks, D.D.S
Title
Owner
Phone
(713) 955-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

11625 Broadway St.
Suite #185
Pearland, TX 77584

Mailing address

11625 Broadway St.
Suite #185
Pearland, TX 77584
Phone (713) 955-4224

National Provider Directory

National Provider Directory
Part of
Godontics

Locations

11625 Broadway St
Ste 185
Pearland, TX 77584
Phone (214) 455-8801

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1881263150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 BROADWAY ST.",
            "address_2": "SUITE #185",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-955-4224",
            "fax_number": "713-955-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 BROADWAY ST.",
            "address_2": "SUITE #185",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-955-4224",
            "fax_number": "713-955-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GODONTICS",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-955-4224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.