Alpha Omega Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALPHA OMEGA DENTAL PLLC

Practice address

6060 Richmond Ave Ste 210
Houston, TX 77057-6262

Phone

(832) 767-3331

Fax

(832) 538-0343

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mena Bishara, DMDNPI 1093042582

Title

Dentist

Phone

(702) 885-4311

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: info@bisharadental.com

Practitioners 1

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

• Mena Bishara, DMD

  • General Practice Dentistry
  • Houston, TX
  • NPI 1093042582
  NPD Authorized official

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1972271146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 RICHMOND AVE STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 RICHMOND AVE STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576262",
            "telephone_number": "832-767-3331",
            "fax_number": "832-538-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "MENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-885-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@bisharadental.com",
            "affiliation": "N",
            "address_1": "6060 Richmond Ave Ste 210",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770576262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alpha Independent Living Inc
• Alpha Lab Services LLC
• Alpha Living Solution LLC
• Alpha Medic EMS
• Alpha Medical Transportllc
• Alpha on-Site Physical Therapy
• Alpha One Healthcare Limited
• Alpha Pain & Spine, PLLC
• Alpha Pharmacy, LLC
• Alpha Supplies Ia LLC

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.