Organization Active NPI

Fav-Ulos Dental

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1922588029
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30122 Issued in TX
Legal business name
FAV-ULOS DENTAL
Practice address
8762 Long Point Rd Ste 102
Houston, TX 77055-3016
Phone
(713) 468-1400
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Fabiola Garcia de Rocha, DRNPI 1013322700
Title
Owner
Phone
(713) 468-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30122 TX Primary

Addresses

Primary practice location

8762 Long Point Rd Ste 102
Houston, TX 77055-3016

Mailing address

8762 Long Point Rd Ste 102
Houston, TX 77055-3016
Phone (713) 468-1400

Other identifiers 1

IdentifierTypeStateIssuer
3372039MedicaidTX

National Provider Directory

National Provider Directory

Locations

8762 Long Point Rd
Ste 102
Houston, TX 77055
Phone (713) 468-1400

Practitioners & affiliated clinicians

Practitioners 2

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": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1922588029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8762 LONG POINT RD STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553016",
            "telephone_number": "713-468-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8762 LONG POINT RD STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553016",
            "telephone_number": "713-468-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAV-ULOS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA DE ROCHA",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-468-1400",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "30122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.