Organization Active NPI

Diana Dental PLLC

  • Dentist
  • Houston, TX
National Provider Identifier
1972115830
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DIANA DENTAL PLLC
Practice address
8619 Richmond Ave Ste 700
Houston, TX 77063-5688
Phone
(346) 388-3838
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Amir Elsakr, DMDNPI 1255684999
Title
Owner
Phone
(832) 232-5353

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8619 Richmond Ave Ste 700
Houston, TX 77063-5688

Mailing address

8619 Richmond Ave Ste 700
Houston, TX 77063-5688
Phone (346) 388-3838

Other identifiers 1

IdentifierTypeStateIssuer
1255684999MedicaidTX

Other names 1

  • Hyatt Dental 2 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Houston Direct

National Provider Directory

National Provider Directory

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": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1972115830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 RICHMOND AVE STE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635688",
            "telephone_number": "346-388-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 RICHMOND AVE STE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635688",
            "telephone_number": "346-388-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "ELSAKR",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-232-5353",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255684999",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8619 Richmond Ave Ste 700",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770635688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hyatt Dental 2",
            "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 Aug 25, 2020; 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.