Active NPI
Kidzone Dental PLLC
- Pediatric Dentistry
- Houston, TX
National Provider Identifier
1932622487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Houston, TX
- NPI 1619143989
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.