Organization Active NPI

Fort Bend Dental Aliana, PLLC

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1902666944
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FORT BEND DENTAL ALIANA, PLLC
Practice address
16647 W Airport Blvd
Sugar Land, TX 77498
Phone
(281) 524-3575
Fax
(281) 605-5956
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Mr. Dwight D Peccora, DDS
Title
Doctor/Managing Partner
Phone
(281) 499-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16647 W Airport Blvd
Sugar Land, TX 77498

Mailing address

16647 W Airport Blvd
Sugar Land, TX 77498

National Provider Directory

National Provider Directory
Tax ID family
Fort Bend Dental Aliana PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1902666944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16647 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16647 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77498",
            "telephone_number": "281-524-3575",
            "fax_number": "281-605-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND DENTAL ALIANA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "PECCORA",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR/MANAGING PARTNER",
        "authorized_official_telephone_number": "281-499-3541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.