Dentvance

Primary specialty

DentistTaxonomy code 122300000X

License

28644 Issued in TX

Legal business name

DENTVANCE

Practice address

5438 North Fwy
Houston, TX 77076-4701

Phone

(818) 996-2080

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Bahman Hakim

Title

Dentist

Phone

(818) 857-6020

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1942550082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764701",
            "telephone_number": "818-996-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764701",
            "telephone_number": "818-996-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTVANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "BAHMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-857-6020"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61562",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentvance Dental Care
• Daniel Denzler, MAT LAT ATC
• Jacqueline Kay Denzler, AGACNP-BC
• Deondra R Hardemon
• Deontology

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.