HOUSTON RED OAK DRIVE DENTAL, PC (NPI# 1962991927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962991927 |
| Entity Type | Organization |
| Organization Name | HOUSTON RED OAK DRIVE DENTAL, PC |
| Practice Address |
17222 Red Oak Dr Ste 104 Houston TX 77090-2614 |
| Practice Telephone | 2815834600 |
| Mailing Telephone | 2815834600 |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | GINA ABROTSKY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7206034788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912480740 | Houston Red Oak Drive Dental, PC | Clinic/Center | 27326 Robinson Rd Ste 108, Oak Ridge North, TX 77385-8960 | 2018-09-07 |
| Street Address |
17222 RED OAK DR STE 104 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679046155 | Oak Ridge North Robinson Road Dental PC | Dentist | 17222 Red Oak Dr Ste 104, Houston, TX 77090-2614 | 2019-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1760041578 | Beloved Dental Pllc | Dentist | 4130 Bellaire Blvd, Suite 214, Houston, TX 77025 | 2019-06-06 |
| 1245894294 | Gac Dental Pllc | Dentist | 9540 South Main St., Ste 100, Houston, TX 77025 | 2019-04-25 |
| 1831679976 | Dentini Pediatric Dentistry | Dentist | 2723 Yale Street, Suite 104, Houston, TX 77008 | 2018-08-17 |
| 1851887848 | Michael Posada Dmd, Pllc | Dentist | 2990 Richmond Ave Ste 170, Houston, TX 77098-3109 | 2018-07-03 |
| 1568955052 | Rm Dental Pllc | Dentist | 6500 North Fwy Ste 124, Houston, TX 77076-2941 | 2018-06-11 |
| 1669970950 | Houston Pediatric Dental Partners | Dentist | 5252 Westchester St Ste 190, Houston, TX 77005-4144 | 2018-02-01 |
| 1821443771 | Antonio Dario Cardenas | Dentist | 8333 Braesmain Dr Apt 1204, Houston, TX 77025-2944 | 2016-04-28 |
| 1396199014 | Sindhu Jujjavarapu | Dentist | 12924 Willow Chase Dr, Houston, TX 77070-5641 | 2016-04-19 |
| 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.