Organization Active NPI

Justin Dental Heights PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1962848911
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25571 Issued in TX
Legal business name
JUSTIN DENTAL HEIGHTS PLLC
Practice address
107 Yale St Ste 300
Houston, TX 77007-3730
Phone
(832) 900-2071
Fax
(832) 900-2072
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Jenny Garcia Rocha
Title
Sr Credentialing Team Lead
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25571 TX Primary

Addresses

Primary practice location

107 Yale St Ste 300
Houston, TX 77007-3730

Mailing address

107 Yale St Ste 300
Houston, TX 77007-3730
Phone (832) 900-2071

Other names 1

  • BLVD Dentistry - Heights Doing business as

National Provider Directory

National Provider Directory

Locations

107 Yale St
Ste 300
Houston, TX 77007
Phone (823) 462-7633

Practitioners & affiliated clinicians

Practitioners 2

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": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1962848911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 YALE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073730",
            "telephone_number": "832-900-2071",
            "fax_number": "832-900-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 YALE ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073730",
            "telephone_number": "832-900-2071",
            "fax_number": "832-900-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN DENTAL HEIGHTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLVD Dentistry - Heights",
            "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 Feb 27, 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.