Cisneros Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22148 Issued in TX

Legal business name

CISNEROS DENTISTRY

Practice address

1313 Holland St Ste E
Houston, TX 77029-2873

Phone

(713) 450-2900

Fax

(713) 453-2479

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Victoria Q. Cisneros

Title

Owner

Phone

(713) 450-2900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1982931556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 HOLLAND ST STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292873",
            "telephone_number": "713-450-2900",
            "fax_number": "713-453-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 HOLLAND ST STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292873",
            "telephone_number": "713-450-2900",
            "fax_number": "713-453-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISNEROS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-450-2900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173700903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Cirlos
• Cisco Surgical, PA
• Lawrence J. Cisek, PHD
• Ciska Laboratories, LLC
• Ana Luisa Cisneros Camacho, M.D.
• Alexandra Cisneros, RD
• Alfredo Cisneros, MD
• Andrea Elizabeth Cisneros, MA
• Cynthia Cisneros
• Elena Cisneros

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.