DR. HARVEY WALLACE FODELL (NPI# 1508138165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508138165 |
| Entity Type | Individual |
| Full Name | DR. HARVEY WALLACE FODELL |
| Credential | DDS |
| Practice Address |
1011 Augusta Dr Houston TX 77057-2062 |
| Practice Telephone | 7137831993 |
| Practice Fax Number | 7134657540 |
| Mailing Telephone | 7137831993 |
| Mailing Fax Number | 7134657540 |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2012-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6510 | TX | Dental Providers |
| Street Address |
1011 AUGUSTA DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77057-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600177 | Andrew J Schneider | Podiatrist | 1011 Augusta Dr, Ste 202, Houston, TX 77057-2060 | 2005-06-22 |
| 1801289046 | Suzanne Mouton Odum | Psychologist | 1011 Augusta Dr, Suite 107, Houston, TX 77057-2062 | 2015-03-12 |
| 1376831743 | Mary Eldiwany Abdou | Dentist | 1011 Augusta Dr, Ste. 209, Houston, TX 77057-2062 | 2011-07-19 |
| 1740575281 | Jeffrey John Tollett | Dentist | 1011 Augusta Dr, Suite 100, Houston, TX 77057-2062 | 2011-06-13 |
| 1801066394 | Andrew J Schneider, Dpm | Podiatrist | 1011 Augusta Dr, Suite 202, Houston, TX 77057-2062 | 2008-03-11 |
| 1962691055 | Raja N. Nasir | Dentist | 1011 Augusta Dr, Suite 203, Houston, TX 77057 | 2007-10-15 |
| 1043417413 | Paul W. Newman D.d.s. Pa | Clinic/Center | 1011 Augusta Dr, Suite 106, Houston, TX 77057-2062 | 2007-06-29 |
| 1720296619 | Carolyn Anderson | Psychologist | 1011 Augusta Dr, #107, Houston, TX 77057-2062 | 2007-05-21 |
| 1346453354 | Stephen Christian Bahm | Dentist | 1011 Augusta Dr, #100, Houston, TX 77057-2062 | 2007-05-07 |
| 1609920990 | Leonard E. Crabtree, D.d.s., Inc. | Dentist | 1011 Augusta Dr, Suite 209, Houston, TX 77057-2062 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096810 | Valencia Annik Payne | Registered Nurse | 5850 San Felipe Street Suite 500, Houston, TX 77057 | 2019-08-01 |
| 1144874884 | Birds Eye View Optometry Tanglewood Pllc | Optometrist | 5706 San Felipe St, Suite # B400, Houston, TX 77057 | 2019-07-31 |
| 1780168484 | Promidel Group LLC | Durable Medical Equipment & Medical Supplies | 5850 San Felipe Suite 500, Houston, TX 77057 | 2018-09-18 |
| 1750862074 | Express Rehab LLC | Clinic/Center | 6301 Richmond Ave Ste 110, Houston, TX 77057 | 2018-08-24 |
| 1902398258 | Serene Springs Health & Wellness Clinic | Nurse Practitioner | 6300 Richmond Ave Ste 202, Houston, TX 77057 | 2018-06-02 |
| 1063965978 | Crystal Adodo | Nurse Practitioner | 5749 San Felipe, Houston, TX 77057 | 2016-07-27 |
| 1639553266 | Nova Healthcare In LLC | Preventive Medicine | 2425 Fountain View Dr. Suite 160, Houston, TX 77057 | 2015-07-14 |
| 1134502941 | Audiology Partners of Texas, LLC | Hearing Aid Equipment | 5781 Woodway Dr, Houston, TX 77057 | 2015-06-30 |
| 1417348491 | Verimed Health and Medical Wellness Clinic, Inc | Specialist | 6363 Richmond Avenue Suite 278, Houston, TX 77057 | 2015-02-11 |
| 1740688076 | Candus Irby | Technician | 6363 Beverly Hill St Suite 8, Houston, TX 77057 | 2014-12-19 |
| Find all providers in zip 77057 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| 1710592522 | Georgi Talmazov | Dentist | 8299 Cambridge St Apt 102, Houston, TX 77054-3138 | 2020-09-09 |
| 1982218673 | Marissa Fernandez | Dentist | 3527 Ozark St, Houston, TX 77021-1209 | 2020-09-01 |
| 1568075943 | Omar Fawzi Ismael | Dentist | 909 Dairy Ashford Rd Ste 109, Houston, TX 77079-5306 | 2020-08-26 |
| 1972115830 | Diana Dental Pllc | Dentist | 8619 Richmond Ave Ste 700, Houston, TX 77063-5688 | 2020-08-20 |
| 1861002388 | Safa Nawazish | Dentist | 9000 Almeda Rd Apt 9107, Houston, TX 77054-4341 | 2020-08-10 |
| 1568088524 | Smile Squad of Houston Shepherd Pllc | Dentist | 3800 N Shepherd Dr Ste 3-a, Houston, TX 77018-6400 | 2020-06-24 |
| 1063037646 | Veterans Dental Center | Dentist | 10403 Lark Rdg, Houston, TX 77070-4875 | 2020-06-10 |
| 1841814738 | Texas Dental Associates, Pa | Dentist | 5230 Buffalo Speedway, Houston, TX 77005-4204 | 2020-06-05 |
| 1750910659 | Ph Dentistry, PC | Dentist | 17619 Fm 529 Rd, Houston, TX 77095-1003 | 2020-04-03 |
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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.