NPIMap

Organization Active NPI

Radiant Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
National Provider Identifier
1962721878
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22757 Issued in TX
Legal business name
RADIANT ORTHODONTICS, PLLC
Practice address
9009 Long Point Rd
Suite A1
Houston, TX 77055-4665
Phone
(713) 468-9009
Fax
(713) 463-6403
NPI assigned
May 18, 2010
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Elaheh Moheb, DDSNPI 1447499959
Title
Owner
Phone
(713) 922-8838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22757 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22757 TX Primary

Addresses

Primary practice location

9009 Long Point Rd
Suite A1
Houston, TX 77055-4665

Mailing address

9009 Long Point Rd
Suite A1
Houston, TX 77055-4665
Phone (713) 468-9009

National Provider Directory

National Provider Directory

Locations

9009 Long Point Rd
Ste A1
Houston, TX 77055
Phone (713) 468-9009

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1962721878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 LONG POINT RD",
            "address_2": "SUITE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554665",
            "telephone_number": "713-468-9009",
            "fax_number": "713-463-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 LONG POINT RD",
            "address_2": "SUITE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554665",
            "telephone_number": "713-468-9009",
            "fax_number": "713-463-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "MOHEB",
        "authorized_official_first_name": "ELAHEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-922-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22757",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2012; 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.