Organization Active NPI

Kidzone Dental PLLC

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1932622487
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDZONE DENTAL PLLC
Doing business as
INFINITE SMILES AND KIDZONE DENTAL
Practice address
1333 Old Spanish TRL Ste C
Houston, TX 77054-1841
Phone
(713) 383-9206
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Shervin Amini
Title
Credentialing Specialist
Phone
(713) 647-8199

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1333 Old Spanish TRL Ste C
Houston, TX 77054-1841

Mailing address

1333 Old Spanish TRL Ste C
Houston, TX 77054-1841
Phone (713) 383-9206

Other names 1

  • INFINITE SMILES AND KIDZONE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1333 Old Spanish Trl
Ste C
Houston, TX 77054
Phone (202) 550-1716

Practitioners & affiliated clinicians

Practitioners 1

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1932622487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 OLD SPANISH TRL STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541841",
            "telephone_number": "713-383-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 OLD SPANISH TRL STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541841",
            "telephone_number": "713-383-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZONE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "713-647-8199"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INFINITE SMILES AND KIDZONE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2021; 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.