GUSTAVO SALAS DDS MS PLLC (NPI# 1720543580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720543580 |
| Entity Type | Organization |
| Organization Name | GUSTAVO SALAS DDS MS PLLC |
| Practice Address |
2720 N Mason Rd Katy TX 77449-4143 |
| Practice Telephone | 7139552013 |
| Mailing Telephone | 7139552013 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | DR. GUSTAVO SALAS (OWNER) |
| Authorized Official Telephone | 7139552013 |
| Authorized Official Credential | DDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2824310-02 | 05 |
| Other Name | Type Code |
|---|---|
| PORTAL FAMILY DENTISTRY AND ORTHODONTICS | Doing Business As Name - Organization |
| Street Address |
2720 N MASON RD |
| City | KATY |
| State | TX |
| Zip Code | 77449-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454507 | Mariah Maldonado | Behavior Technician | 2502 Providence Point Dr., Katy, TX 77449 | 2020-10-12 |
| 1053927863 | Helping Hands Senior Care, LLC | Home Health | 20135 Cable Brook Ln, Katy, TX 77449 | 2020-09-17 |
| 1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
| 1154956225 | Jptx Pllc | Dentist | 3011 West Grand Parkway North, Suite 200, Katy, TX 77449 | 2020-03-09 |
| 1831737345 | Tmd Services LLC | Non-emergency Medical Transport (VAN) | 21022 Iris Bloom Street, Katy, TX 77449 | 2019-12-16 |
| 1558911081 | Samatha Renee Morris | Technician | 27427 Slate Crossing Lane, Katy, TX 77449 | 2019-09-17 |
| 1275188518 | Sanitas Medical Center of Texas Pa | Clinic/Center | 2610 N. Mason Rd, Katy, TX 77449 | 2019-08-05 |
| 1265087472 | Sanitas Medical Center of Texas Pa | Family Medicine | 2610 North Mason Road, Katy, TX 77449 | 2019-08-05 |
| 1255993192 | Chelsea Rae Mitchell | Counselor | 21606 Ivory Gate Ln, Katy, TX 77449 | 2019-07-01 |
| 1376104992 | Vision Republic, Pllc | Optometrist | 23021 Mortan Ranch Rd., Ste D, Katy, TX 77449 | 2019-06-25 |
| Find all providers in zip 77449 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175917 | Meredith Ann Williams | Dentist | 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 | 2020-05-06 |
| 1841719655 | Katie Corinne Bemis | Dentist | 22167 Westheimer Pkwy Ste 120, Katy, TX 77450-8301 | 2017-09-12 |
| 1336667633 | Hesed Orthodontics | Dentist | 2918 W Grand Pkwy N Ste 200, Katy, TX 77449-1993 | 2017-09-07 |
| 1205363082 | Smile Docs Orthodontics, P.C. | Dentist | 24526 Kingsland Blvd, Katy, TX 77494-3429 | 2017-05-11 |
| 1437579158 | James Blackburn | Dentist | 5215 Fm 1463, 700, Katy, TX 77494 | 2014-04-21 |
| 1508172057 | Shad B Hanis | Dentist | 2830 Commercial Center Blvd Ste 101, Katy, TX 77494-6406 | 2010-08-22 |
| 1235392630 | Liana E Medina | Dentist | 10605 Spring Green Blvd., Ste. 300, Katy, TX 77494 | 2008-07-07 |
| 1346422730 | Manish Dhutia | Dentist | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2007-11-28 |
| 1326234832 | Louis D Anderson II | Dentist | 21685 Kingsland Blvd, Katy, TX 77450-2512 | 2007-09-18 |
| 1235270653 | Myoung-soo Choi | Dentist | 25614 Oakton Springs Dr, Katy, TX 77494-8557 | 2007-02-09 |
| Find all providers in KATY | ||||
Please comment or provide details below to improve the information on GUSTAVO SALAS DDS MS PLLC.
| 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.