Houston Red Oak Drive Dental, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

HOUSTON RED OAK DRIVE DENTAL, PC

Practice address

1125 Cypress Station Dr Ste 3
Houston, TX 77090-3054

Phone

(281) 583-4600

NPI assigned

May 5, 2018

Organization subpart

Yes

Parent organization

HOUSTON RED OAK DRIVE DENTAL, PCAs reported in NPPES

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

Authorized official

Name

Magdalena Evans

Title

Sr. Credentialing Specialist

Phone

(720) 272-7558

Specialties & licenses 1

Addresses

Other names 1

• Northwest Pediatric Dental Doing business as

Part of

Houston Red Oak Drive Dental PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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  NPD

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1962991927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903054",
            "telephone_number": "281-583-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903054",
            "telephone_number": "281-583-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON RED OAK DRIVE DENTAL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON RED OAK DRIVE DENTAL, PC",
        "enumeration_date": "2018-05-05",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-272-7558"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.