FORTUNE PHI, PA (NPI# 1215945639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215945639 |
| Entity Type | Organization |
| Organization Name | FORTUNE PHI, PA |
| Other Organization Name | DENTIQ DENTISTRY |
| Practice Address |
1355 W Gray St Houston TX 77019-4019 |
| Practice Telephone | 7135262904 |
| Mailing Telephone | 7135262904 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | DR. SRIDHAR SISTA (OWNER) |
| Authorized Official Telephone | 7135262904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Barbara Johnson D.D.S. | Doing Business As Name - Organization |
| Dentiq Dentistry | Doing Business As Name - Organization |
| Street Address |
1355 W GRAY ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77019-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023051307 | Mark Darius Khorsandi | Orthopaedic Surgery | 1355 W Gray St, Ste B, Houston, TX 77019-4019 | 2006-06-14 |
| 1366827958 | West Gray Center for Special Surgery, LLC | Clinic/Center | 1355 W Gray St, Houston, TX 77019-4019 | 2015-07-23 |
| 1871921031 | Joseph Dang Md, Pa | Physical Medicine & Rehabilitation | 1355 W Gray St, Ste B, Houston, TX 77019-4019 | 2013-10-28 |
| 1639507189 | Pinnacle Hand Surgery Group, Pa | Surgery | 1355 W Gray St, Ste B, Houston, TX 77019-4019 | 2013-10-21 |
| 1194017277 | Migraine Relief Center | Internal Medicine | 1355 W Gray St, Houston, TX 77019-4019 | 2011-05-09 |
| 1881915650 | Sridhar Sista | Dentist | 1355 W Gray St, Houston, TX 77019-4019 | 2010-06-16 |
| 1083847594 | Laura Ja'nee Barton | Massage Therapist | 1355 W Gray St, Houston, TX 77019-4019 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337802 | Phong Vo | Social Worker | 1501 Crocker Street, Suite Two, Houston, TX 77019 | 2020-02-08 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1619445368 | Comfort Bosede Sofayo | Nurse Practitioner | 2506 Kingston St, Apt 2, Houston, TX 77019 | 2018-11-09 |
| 1659866366 | Dena Furman | Dietitian, Registered | 2221 W Dallas St Apt 381, Houston, TX 77019 | 2018-06-25 |
| 1255844494 | Kandi Denise Gamble | Licensed Practical Nurse | 1900 West Gray St, 130732, Houston, TX 77019 | 2017-11-09 |
| 1437668217 | Lawanda Hill | Psychologist | 2514 Kingston Street, Unit One, Houston, TX 77019 | 2017-09-25 |
| 1841715034 | The Vitalus Group LLC | Clinical Medical Laboratory | 2727 Allen Parkway Suite 1915, Houston, TX 77019 | 2017-08-08 |
| 1952825960 | Krista Bryla | Dietitian, Registered | 2027 Woodhead St, Houston, TX 77019 | 2017-08-01 |
| 1770015745 | George Ross Malik | Physical Medicine & Rehabilitation | 1005 S Shepherd Dr, Apt 412, Houston, TX 77019 | 2017-03-29 |
| 1437601390 | Montrose Eye Care, Pllc | Optometrist | 520 Waugh Dr, Houston, TX 77019 | 2016-10-26 |
| Find all providers in zip 77019 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242923 | Exquisite Dental Smiles Pllc | Dentist | 2200 Aldine Mail Route Rd # 106, Houston, TX 77039 | 2020-10-15 |
| 1568069094 | Vintage Smile Family Dentistry | Dentist | 10300 Louetta Rd, Houston, TX 77070-2121 | 2020-10-07 |
| 1093322836 | Lan Hoang Dao | Dentist | 6711 Mission Bell Dr, Houston, TX 77083-2524 | 2020-09-25 |
| 1871107714 | Nbnl Dental Pllc | Dentist | 4400 North Fwy Spc C300, Houston, TX 77022-3649 | 2020-09-08 |
| 1780293613 | Namrata Rathod | Dentist | 1255 Eldridge Pkwy Apt 126, Houston, TX 77077-2161 | 2020-07-27 |
| 1104434752 | Pavana Kulathanal Chakrapani | Dentist | 1072 Federal Rd, Houston, TX 77015-4804 | 2020-07-20 |
| 1821606039 | Po-lin Yang | Dentist | 4500 Washington Ave Ste 700, Houston, TX 77007-5478 | 2020-07-14 |
| 1053939637 | Anusha Joseph | Dentist | 306 Woodcombe Dr, Houston, TX 77062-2540 | 2020-07-09 |
| 1508482860 | Garcia- Alcover Dental Pllc | Dentist | 6720 Chimney Rock Rd Ste S, Houston, TX 77081-5640 | 2020-06-23 |
| 1205452893 | Linh Ngoc Pham | Dentist | 9207 Meadow Branch Ct, Houston, TX 77095-2753 | 2020-06-19 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.