Individual provider Active NPI

Elizabeth Claire Tea, DMD

  • Dentist
  • Houston, TX
National Provider Identifier
1902214786
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30141 Issued in TX
Practice address
2323 Wirt Rd
Ste F-1
Houston, TX 77055-1232
Phone
(832) 687-8321
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30141 TX Primary

Addresses

Primary practice location

2323 Wirt Rd
Ste F-1
Houston, TX 77055-1232

Mailing address

8722 Cypress Square CT
Spring, TX 77379-2305
Phone (832) 687-8321

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
I20160323001206 TX Order and Referring Only - DentistPractitioner - Dentist 8123325891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1902214786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 CYPRESS SQUARE CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792305",
            "telephone_number": "832-687-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 WIRT RD",
            "address_2": "STE F-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551232",
            "telephone_number": "832-687-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEA",
        "first_name": "ELIZABETH",
        "middle_name": "CLAIRE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.