Active NPI
Justin Dental Heights PLLC
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1962848911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25571
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.