NPIMap

Organization Active NPI

Exquisite Dental Smiles III PLLC

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1952168684
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EXQUISITE DENTAL SMILES III PLLC
Practice address
4120 Richmond Pkwy
Suite 203
Richmond, TX 77469
Phone
(832) 449-5426
Fax
(832) 449-5427
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Dr. Maherin Momin
Title
Owner
Phone
(832) 449-5426

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

4120 Richmond Pkwy
Suite 203
Richmond, TX 77469

Mailing address

22722 Moore Point LN
Richmond, TX 77469-2452

Other names 1

  • Safari Family Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

4120 Richmond Pkwy
Ste 203
Richmond, TX 77469
Phone (832) 449-5426

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": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1952168684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22722 MOORE POINT LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 RICHMOND PKWY",
            "address_2": "SUITE 203",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "832-449-5426",
            "fax_number": "832-449-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE DENTAL SMILES III PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "MAHERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-449-5426",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safari Family Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Safari Family Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.