Organization Active NPI

Scuba HTX, PLLC

  • General Practice Dentistry
  • Bellaire, TX
National Provider Identifier
1902584873
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCUBA HTX, PLLC
Practice address
5827 Bissonnet St
Bellaire, TX 77401-4719
Phone
(832) 888-5244
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Hoda J
Title
Manager
Phone
(832) 888-5244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5827 Bissonnet St
Bellaire, TX 77401-4719

Mailing address

5827 Bissonnet St
Bellaire, TX 77401-4719

Other names 1

  • Scuba Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5827 Bissonnet St
Bellaire, TX 77401
Phone (713) 364-9999

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1902584873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 BISSONNET ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5827 BISSONNET ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014719",
            "telephone_number": "832-888-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCUBA HTX, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "J",
        "authorized_official_first_name": "HODA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-888-5244"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scuba Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scuba Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.