JUSTIN G CROCKETT DENTISTRY PLLC (NPI# 1316252778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316252778 |
| Entity Type | Organization |
| Organization Name | JUSTIN G CROCKETT DENTISTRY PLLC |
| Other Organization Name | BLVD DENTISTRY |
| Practice Address |
5000 Westheimer Rd Suite 630 Houston TX 77056 |
| Practice Telephone | 7132550780 |
| Practice Fax Number | 7132550781 |
| Mailing Telephone | 7132550780 |
| Mailing Fax Number | 7132550781 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| 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 |
|---|---|
| BLVD Dentistry | Doing Business As Name - Organization |
| FLOSS | Doing Business As Name - Organization |
| Street Address |
5000 WESTHEIMER RD SUITE 630 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275098 | Deborah Mei Wong | Optometrist | 5000 Westheimer Rd, Houston, TX 77056-5613 | 2005-09-13 |
| 1639511850 | Hira Iqbal | Optometrist | 5000 Westheimer Rd, Houston, TX 77056-5613 | 2013-07-29 |
| 1083726343 | Sophia W. Barnes | Optometrist | 5000 Westheimer Rd, Suite 590, Houston, TX 77056-5613 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068116 | Elvin Aydin Keles | Counselor | 777 S. Post Oak Lane, One Riverway, Suite 1700, Houston, TX 77056 | 2020-06-17 |
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1144851189 | North Houston First Assist, Pllc | Physician Assistant | 777 S Post Oak Lane, One Riverway Suite 1700, Houston, TX 77056 | 2020-01-29 |
| 1487295945 | Gladys Dadeboe | Registered Nurse | 4718 Hallmark Drive, Houston, TX 77056 | 2019-10-04 |
| 1720541444 | Hazel Camilla Hill | Counselor | 2800 Post Oak Blouvard, Suite 4100, Houston, TX 77056 | 2019-04-09 |
| 1225500150 | Mylabs, LLC | Technician, Pathology | 5100 Westheimer, Suite 200, Houston, TX 77056 | 2018-12-17 |
| 1356847529 | Olumayowa Akinyode | Nurse Practitioner | 5402 Westheimer Court, Houston, TX 77056 | 2018-04-04 |
| 1861997652 | Lauren Eye Group LLC | Optometrist | 5135 W Alabama St Ste 5410, Houston, TX 77056 | 2018-03-26 |
| 1619490828 | James House | Massage Therapist | 3000 Sage Rd, 1161, Houston, TN 77056 | 2017-07-19 |
| 1902327661 | Total Care Centers LLC | Counselor | 5201-a Richmond Ste 338, Houston, TX 77056 | 2017-07-03 |
| Find all providers in zip 77056 | ||||
| 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.