Downtown MTD LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

18415 Issued in TX

Legal business name

DOWNTOWN MTD LLC

Practice address

808 Travis St
T60
Houston, TX 77002-5706

Phone

(713) 322-1000

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By 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

Jonathan Penchas, DMD

Title

Owner

Phone

(713) 322-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1902346711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 TRAVIS ST",
            "address_2": "T60",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770025706",
            "telephone_number": "713-322-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 TRAVIS ST",
            "address_2": "T60",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770025706",
            "telephone_number": "713-322-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN MTD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "PENCHAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-322-1000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "18415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Downtown Performance Medical Center, Inc.
• Downtown Tso, PC (Downtown Texas State Optical)

• Prosthodontics in Houston, TX
• Providers in Houston, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.