Organization Active NPI

Dental Gallery

  • General Practice Dentistry
  • Friendswood, TX
National Provider Identifier
1932386836
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18778 Issued in TX
Legal business name
DENTAL GALLERY
Practice address
102 W El Dorado Blvd
Friendswood, TX 77546-6516
Phone
(281) 990-8448
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Behnaz SaeediNPI 1316011778
Title
Owner
Phone
(281) 990-8448

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18778 TX Primary

Addresses

Primary practice location

102 W El Dorado Blvd
Friendswood, TX 77546-6516

Mailing address

102 W El Dorado Blvd
Friendswood, TX 77546-6516
Phone (281) 990-8448

Other identifiers 3

IdentifierTypeStateIssuer
008381OtherTXPMI
1358544OtherTXUNITED CORODIA
86D847OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

102 W El Dorado Blvd
Friendswood, TX 77546
Phone (281) 990-8448

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1932386836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W EL DORADO BLVD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466516",
            "telephone_number": "281-990-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W EL DORADO BLVD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466516",
            "telephone_number": "281-990-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SAEEDI",
        "authorized_official_first_name": "BEHNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-990-8448"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMI",
            "identifier": "008381",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CORODIA",
            "identifier": "1358544",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86D847",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.