DOWNTOWN MTD LLC (NPI# 1902346711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902346711 |
| Entity Type | Organization |
| Organization Name | DOWNTOWN MTD LLC |
| Practice Address |
808 Travis St T60 Houston TX 77002-5706 |
| Practice Telephone | 7133221000 |
| Mailing Telephone | 7133221000 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | JONATHAN PENCHAS (OWNER) |
| Authorized Official Telephone | 7133221000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
18415 | TX | Dental Providers |
| Street Address |
808 TRAVIS ST T60 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134131832 | Frank King Eggleston | Dentist | 808 Travis St, Suite 1009, Houston, TX 77002-5706 | 2006-08-12 |
| 1528127040 | William Brad Brager | Counselor | 808 Travis St, Suite 1507, Houston, TX 77002-5706 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620400 | Luis Herra | Dentist | 3838 N Braeswood Blvd Apt 249, Houston, TX 77025-3018 | 2020-05-07 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1871004804 | Khayri Aljabi | Dentist | 6516 Westheimer Rd Ste J, Houston, TX 77057-5139 | 2017-10-17 |
| 1841709367 | Cham Dental Clinic | Dentist | 2656 S Loop W Ste 220, Houston, TX 77054-2798 | 2017-09-27 |
| 1598111676 | Gabriel Fernando Sader | Dentist | 6423 Saragosa Crossing Ln, Houston, TX 77066-3398 | 2016-05-09 |
| 1407287451 | Bk Dental Management Pa | Dentist | 7700 Fulton St, Houston, TX 77022-3638 | 2013-12-02 |
| 1225469273 | Bk Dental Management Pa | Dentist | 7442 Park Place Blvd, Houston, TX 77087-4442 | 2013-12-02 |
| 1831538677 | Johanna Yepez | Dentist | 927 Studewood St Ste 300, Houston, TX 77008-1579 | 2013-06-14 |
| 1013290865 | The Dentists At 650 Heights Pllc | Dentist | 650 Heights Blvd., Houston, TX 77007 | 2011-09-27 |
| 1073844130 | S&s Aldine Dental, PC | Dentist | 10407 North Fwy, Suite B, Houston, TX 77037-1136 | 2010-01-28 |
| 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.