DENTAL INNOVATIONS (NPI# 1659588820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659588820 |
| Entity Type | Organization |
| Organization Name | DENTAL INNOVATIONS |
| Practice Address |
900 Broadway St Houston TX 77012-2127 |
| Practice Telephone | 7139283311 |
| Practice Fax Number | 7139289253 |
| Mailing Telephone | 7139283311 |
| Mailing Fax Number | 7139289253 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JESUS MARIO VELASQUEZ (D.D.S.,MS.) |
| Authorized Official Telephone | 7137853355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
18000 | TX | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
18000 | TX | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
18000 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339727 | Dental Innovations | Clinic/Center | 160 S Power Rd, Mesa, AZ 85206-5230 | 2019-11-04 |
| 1720257439 | Dental Innovations | Dentist | 427 W 20th St, Houston, TX 77008-2441 | 2008-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DENTAL INNOVATIONS LLC | 46 Valentine St., Cambridge, MA 02139 |
| Colorado Business Entities | DENTAL INNOVATIONS, INC. | 7800 S. Elati St., Suite 210, Littleton, CO 80120 |
| Washington State Corporations | DENTAL INNOVATIONS, INC. | 22220 Marine View Dr S # 110, Des Moines, WA 98198 |
| Oregon Corporations, Companies and Business Names | DENTAL INNOVATIONS, LLC | 6400 Se Lake Road Suite 140, Portland, OR 97222 |
| Street Address |
900 BROADWAY ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77012-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124056304 | Marise Kelly | Family Medicine | 900 Broadway St, Houston, TX 77012-2127 | 2006-06-28 |
| 1790010064 | Marise Kelly, M.d., P.a. | Family Medicine | 900 Broadway St, Houston, TX 77012-2127 | 2009-10-05 |
| 1427284017 | Nsuela Rosy Mukana | Family Medicine | 900 Broadway St, Houston, TX 77012-2127 | 2009-06-09 |
| 1376702233 | J Mario Velasquez Dds | Dentist | 900 Broadway St, Houston, TX 77012-2127 | 2008-06-05 |
| 1447418223 | Carlos A Sierra | Dentist | 900 Broadway St, Houston, TX 77012-2127 | 2008-05-28 |
| 1922274703 | Mauricio Recinos | Dentist | 900 Broadway St, Houston, TX 77012-2127 | 2008-05-01 |
| 1871769836 | Steven A Ware | Psychiatry & Neurology | 900 Broadway St, Houston, TX 77012-2127 | 2008-04-30 |
| 1881789022 | Maritime Pharmacy | Pharmacist | 900 Broadway St, Houston, TX 77012-2127 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831626019 | Pharmacy | Pharmacy | 7612 Canal St, C, Houston, TX 77012 | 2017-05-18 |
| 1710295688 | Kellie Chen | Social Worker | 7635 Canal St, Houston, TX 77012-1143 | 2010-09-14 |
| 1245556885 | El Centro De Corazon | Clinic/Center | 7635 Canal St., Houston, TX 77012-1143 | 2010-04-07 |
| 1083034268 | Maria Luisa Revert Font | Pediatrics | 7635 Canal St, Houston, TX 77012-1143 | 2014-04-26 |
| 1689912743 | Angela Cecilia Medina | Counselor | 7635 Canal St, Houston, TX 77012-1143 | 2013-01-24 |
| 1649532037 | El Centro De Corazon | Community/Behavioral Health | 7635 Canal St, Houston, TX 77012-1143 | 2012-06-12 |
| 1235416066 | Nereida Berlanga Martinez | Counselor | 7635 Canal St, Houston, TX 77012-1143 | 2011-11-08 |
| 1306125687 | Ermy J Soto | Dietitian, Registered | 7635 Canal St, Houston, TX 77012-1143 | 2011-08-04 |
| 1487979597 | Canal Healthcare Solutions LLC | Pharmacy | 7648 Canal St, Houston, TX 77012-1144 | 2010-03-31 |
| 1467858175 | Jessica Marie Ginn | Nurse Practitioner | 8329 Lawndale St, Houston, TX 77012-3707 | 2014-11-06 |
| Find all providers in zip 77012 | ||||
| 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.