Houston Dental Clinic, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOUSTON DENTAL CLINIC, PA

Practice address

12121 Westheimer Rd Ste 207
Houston, TX 77077-6654

Phone

(281) 372-8836

NPI assigned

Aug 16, 2017

Last updated

Aug 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth A Farahbod, DDS

Title

President

Phone

(281) 372-8836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1992221451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 POTOMAC DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571925",
            "telephone_number": "713-825-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WESTHEIMER RD STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776654",
            "telephone_number": "281-372-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON DENTAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "FARAHBOD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-372-8836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Houston Craniofacial & Sinus Imaging LL C
• Houston Craniofacial and Sinus Surgery
• Houston Cypress Anesthesia LLP
• Houston DDS, PC (Prio Dental)
• Houston Dental Clinic LLC
• Houston Dental Health Institute PA
• Houston Dental Sleep Apnea Solutions LLC
• Houston Dental Sleep Therapy
• Houston Dentistry & Aesthetics PLLC (Houston Dentistry at Memorial)
• Houston Dentistry PC (Prio Dental)

• 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 Aug 16, 2017; 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.