Memorial Modern Dentistry,PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MEMORIAL MODERN DENTISTRY,PC

Practice address

9355 Katy Fwy
Houston, TX 77024-1516

Phone

(713) 300-7999

Fax

(713) 277-7307

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John S Barnes, DDS

Title

Admin

Phone

(713) 300-7999

Specialties & licenses 1

Addresses

Other names 1

• Memorial Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1972052629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241516",
            "telephone_number": "713-300-7999",
            "fax_number": "713-277-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MODERN DENTISTRY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "713-300-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Memorial Medical Center
• Memorial Medical Staffing Services
• Memorial Medical Supply
• Memorial Medical Supply, Inc.
• Memorial Men'S Health, LP
• Memorial MRI & Diagnostic, LLC
• Memorial MRI and Diagnostic LLC
• Memorial Neurological Association
• Memorial Northwest Emergency Physicians, LLP
• Memorial Northwest Hearing AIDS, LLC

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.