WIRT MTD LLC (NPI# 1790225506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790225506 |
| Entity Type | Organization |
| Organization Name | WIRT MTD LLC |
| Practice Address |
1014 Wirt Rd Ste 240 Houston TX 77055-6883 |
| Practice Telephone | 7133226666 |
| Mailing Telephone | 7133226666 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | JONATHAN PENCHAS (OWNER) |
| Authorized Official Telephone | 7133221111 |
| 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 |
1014 WIRT RD STE 240 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77055-6883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619388493 | Oncall Em Physicians Pllc | Emergency Medicine | 1014 Wirt Rd, Suite 200, Houston, TX 77055-6883 | 2014-05-14 |
| 1457701591 | Memorial City Emergency Center LLC | Emergency Medicine | 1014 Wirt Rd, 200, Houston, TX 77055-6883 | 2016-06-20 |
| 1689076119 | Oncall Emergency Center Memorial Village LLC | Clinic/Center | 1014 Wirt Rd, Ste 200, Houston, TX 77055-6883 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1134777238 | Cini Thomas | Nurse Practitioner | 9504 Long Point Rd, Suite E, Houston, TX 77055 | 2019-08-31 |
| 1598248056 | Jan Michael Coz | Occupational Therapy Assistant | 1341 Blalock Road, Houston, TX 77055 | 2018-09-11 |
| 1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
| 1508353129 | Amber Clarke | Nurse Practitioner | Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 | 2018-04-19 |
| 1205338506 | Kelsey Samantha Gold | Registered Nurse | 7605 Wedgewood Lane, Houston, TX 77055 | 2018-03-02 |
| 1255849147 | Tan Minh Nguyen | Physical Therapy Assistant | 1341 Blalock, Houston, TX 77055 | 2018-01-13 |
| 1679097737 | Susan Degner | Social Worker | 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 | 2017-07-31 |
| 1003336413 | Solange Inzillo | Speech-Language Pathologist | 9757 Pine Lake Drive, #4025, Houston, TX 77055 | 2017-06-27 |
| 1386181618 | Gem Monika Yamon Escamilla | Nurse Practitioner | 8116 Long Point Rd, Houston, TX 77055 | 2017-01-25 |
| Find all providers in zip 77055 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on WIRT MTD LLC.
| 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.