Dentists at Memorial Park

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22469 Issued in TX

Legal business name

DENTISTS AT MEMORIAL PARK

Doing business as

Dentists At Memorial Park

Practice address

5535 Memorial Drive
Suite K
Houston, TX 77007

Phone

(713) 861-8323

Fax

(713) 861-2307

NPI assigned

Aug 31, 2006

Last updated

Aug 17, 2020By 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

Dr. Catalina Cruz Johnson, DDSNPI 1538242185

Title

President

Phone

(719) 861-8323

Specialties & licenses 3

Addresses

Other names 1

• Dentists At Memorial Park Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catalina Cruz Johnson, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1538242185
  NPD Authorized official
• Sarah Kessler, DDS

  • General Practice Dentistry
  • Austin, TX
  • NPI 1104909795
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1922119841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL DRIVE",
            "address_2": "SUITE K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "713-861-8323",
            "fax_number": "713-861-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL DRIVE",
            "address_2": "SUITE K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "713-861-8323",
            "fax_number": "713-861-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS AT MEMORIAL PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-861-8323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21430",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21437",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists At Memorial Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists At Memorial Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Aug 17, 2020; 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.