Gulf Coast Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

25356 Issued in TX

Legal business name

GULF COAST ENDODONTICS

Practice address

4949 Fairmont Pkwy
Ste. 215
Pasadena, TX 77505-3757

Phone

(832) 379-2696

Fax

(832) 379-2697

NPI assigned

Nov 11, 2010

Last updated

Nov 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew C Haddad, D.M.D.NPI 1609022607

Title

Owner

Phone

(832) 379-2696

Specialties & licenses 1

Addresses

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.

• Matthew C Haddad, D.M.D.

  • Dentist
  • Boston, MA
  • NPI 1609022607
  NPD (past) Authorized official

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1952602682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 FAIRMONT PKWY",
            "address_2": "STE. 215",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053757",
            "telephone_number": "832-379-2696",
            "fax_number": "832-379-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 FAIRMONT PKWY",
            "address_2": "STE. 215",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053757",
            "telephone_number": "832-379-2696",
            "fax_number": "832-379-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-379-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "25356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Guerrero
• Joaquina Guerrero
• Toby Michael Guillory Jr., D.C.
• Gulf Coast Allergy Center, PA
• Gulf Coast Cancer Center of Pasadena
• Gulf Coast Endodontics West U PLLC
• Gulf Coast Pathology Program PLLC
• Gulf Family Dental PC
• Shreya Gupta
• Josselin Gutierrez Matamoros, PTA

• Endodontics in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.