AMERICAN MODERN DENTAL (NPI# 1730719345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730719345 |
| Entity Type | Organization |
| Organization Name | AMERICAN MODERN DENTAL |
| Practice Address |
5440 El Dorado Blvd Ste 1600 Houston TX 77059-5001 |
| Practice Telephone | 2819901001 |
| Practice Fax Number | 2819901002 |
| Mailing Telephone | 2819901001 |
| Mailing Fax Number | 2819901002 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-06-21 |
| Authorized Official Name | SHARAREH NIKNAM (MEMBER) |
| Authorized Official Telephone | 2819901001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
5440 EL DORADO BLVD STE 1600 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77059-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427531342 | Daniel R Orton | Clinical Medical Laboratory | 16422 Larkfield Dr, Houston, TX 77059 | 2018-09-07 |
| 1558890962 | Theodora Efroseni Tsakalakis | Specialist/Technologist | 15722 Dunmoor Dr., Houston, TX 77059 | 2017-06-08 |
| 1396273017 | Ashlon Waldel Albert | Dentist | 3535 Clear Lake City Blvd, Houston, TX 77059 | 2017-05-24 |
| 1669821161 | Sacred Oak Medical Center, LLC | Psychiatric Hospital | 11500 Space Center Blvd, Houston, TX 77059 | 2016-06-07 |
| 1023482999 | Ideal Dental of Clearlake Pllc | Dentist | 3535 Clear Lake City Boulevard, Suite 400, Houston, TX 77059 | 2015-11-16 |
| 1700262821 | H-e-b, Lp | Clinical Medical Laboratory | 3501 Clear Lake City Blvd, Houston, TX 77059 | 2015-07-31 |
| 1922389709 | Rita Yarbrough | Speech-Language Pathologist | 3707 Montvale, Houston, TX 77059 | 2011-09-07 |
| 1699916239 | Larna Annette Martin | Contractor | 16011 Parksely Dr., Houston, TX 77059 | 2009-03-11 |
| 1861534596 | David S. Morrow | Optometrist | 11510-b Space Center Blvd, Houston, TX 77059 | 2007-02-12 |
| 1952443681 | Catherine M. Brooks | Optometrist | 11510-b Space Center Blvd., Houston, TX 77059 | 2007-02-12 |
| Find all providers in zip 77059 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237281 | Tbd, Pllc | Clinic/Center | 6363 San Felipe St Ste 200b, Houston, TX 77057-2704 | 2020-08-28 |
| 1770100984 | Tamaara Morris Dds Ms Pllc | Clinic/Center | 5802 Val Verde St Ste 170, Houston, TX 77057-5759 | 2020-07-03 |
| 1891311510 | Wallisville Braces, Pllc | Clinic/Center | 14570 Wallisville Rd Ste 1, Houston, TX 77049-4300 | 2020-06-18 |
| 1326660549 | Dental Clinics of Texas, Pllc | Clinic/Center | 17440 Fm 529 Rd Ste 100, Houston, TX 77095-1167 | 2020-05-11 |
| 1750913711 | Tanglewood Court | Clinic/Center | 5885 San Felipe St Ste 525, Houston, TX 77057-3434 | 2020-02-07 |
| 1427609981 | Ondon, Pllc | Clinic/Center | 10211 Cypresswood Dr, Houston, TX 77070-3407 | 2019-09-26 |
| 1205485794 | Gregory Palmer Dmd PC | Clinic/Center | 9113 Stella Link Rd Ste 1, Houston, TX 77025-3930 | 2019-09-06 |
| 1295383347 | M&m Smiles | Clinic/Center | 2522 Yale St Ste 210, Houston, TX 77008-2149 | 2019-09-02 |
| 1841845518 | Memorial City Smiles | Clinic/Center | 902 Frostwood Dr Ste 166, Houston, TX 77024-2449 | 2019-08-08 |
| 1437704772 | Gems Dental | Clinic/Center | 13303 Champion Forest Dr Ste 5, Houston, TX 77069-2650 | 2019-08-05 |
| 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.