OrganizationActive
Abc123 Pediatric Dentistry, PA
NPI 1699914705 · Pediatric Dentistry · Pearland, TX
Provider details
- NPI number
- 1699914705
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ivette Diaz, Pediatric Dentist(713) 436-8988
- License
- 20798 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1901 Kirby St Ste 103
Pearland, TX 77584-5705
Phone: (713) 436-8988
Street-level locationGet directions
Mailing address
1901 Kirby St Ste 103
Pearland, TX 77584-5705
Registry dates
- Enumerated
- 2009-02-12
- Last updated
- 2009-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.