Cisneros Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CISNEROS DENTISTRY PLLC

Doing business as

Family Dentistry Pasadena

Practice address

918 W Southmore Ave Ste 115
Pasadena, TX 77502-1020

Phone

(832) 489-2881

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Carmen Marmol

Title

Office Manager

Phone

(832) 489-2881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Dentistry Pasadena Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Quiteno Cisneros, DDS,MS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1962626853
  NPD

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1912563958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W SOUTHMORE AVE STE 115",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W SOUTHMORE AVE STE 115",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021020",
            "telephone_number": "832-489-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISNEROS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "MARMOL",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-489-2881"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBDE",
            "identifier": "22148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Christen-Huhn, M.D.
• Bill Christian, MD, MS, MPH
• Christopher Sierra
• Steven Douglas Christopherson, MS, LPC, NCC
• Michael Paul Cimino, D.D.S.
• Andrew Robert Cisneros
• Brenda B Clark
• Taj Jamal Clark, LCDC
• Lawrence Ross Clarke, M.D.
• Clearhope Counseling and Wellness Center, PC (Clearhope Counseling and Wellness)

• General Practice Dentistry in Pasadena, TX
• Providers in Pasadena, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.