Organization Active NPI

F & B Surgical and Cosmetic Dentistry

  • Dentist
  • Houston, TX
National Provider Identifier
1982914958
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20793 Issued in TX
Legal business name
F & B SURGICAL AND COSMETIC DENTISTRY
Practice address
3100 Broadway St Ste 101B
Houston, TX 77017-2338
Phone
(832) 767-1037
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. Frank R. Vidal X, D.M.D.NPI 1659583128
Title
Owner
Phone
(832) 767-1037

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: 193200000X MULTI-SPECIALTY GROUP 122300000X 20793 TX Primary

Addresses

Primary practice location

3100 Broadway St Ste 101B
Houston, TX 77017-2338

Mailing address

3100 Broadway St Ste 101B
Houston, TX 77017-2338
Phone (832) 767-1037

Other identifiers 1

IdentifierTypeStateIssuer
216403001MedicaidTX

Other names 1

  • Dr. Vidal & Associates Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3100 Broadway St
Ste 101B
Houston, TX 77017
Phone (713) 645-7700

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": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1982914958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST STE 101B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770172338",
            "telephone_number": "832-767-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST STE 101B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770172338",
            "telephone_number": "832-767-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F & B SURGICAL AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-767-1037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216403001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Vidal & Associates Dental Clinic",
            "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 Oct 5, 2012; 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.