Basic Information
Provider Information | |||||||||
NPI: | 1912281742 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | UPRIGHT | ||||||||
FirstName: | DIANA | ||||||||
MiddleName: | JOSEPHINE | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | D.D.S. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | UPRIGHT | ||||||||
OtherFirstName: | DIANA | ||||||||
OtherMiddleName: | JOSEPINE | ||||||||
OtherNamePrefix: | DR. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | M.P.H. | ||||||||
OtherLastNameType: | 2 | ||||||||
Mailing Information | |||||||||
Address1: | 1415 CALIFORNIA ST | ||||||||
Address2: |   | ||||||||
City: | HOUSTON | ||||||||
State: | TX | ||||||||
PostalCode: | 770062602 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7138303000 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 7270 HIGHWAY 6 STE 300 | ||||||||
Address2: |   | ||||||||
City: | MISSOURI CITY | ||||||||
State: | TX | ||||||||
PostalCode: | 774594691 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2814027625 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/28/2011 | ||||||||
LastUpdateDate: | 02/02/2012 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 27486 | TX | Y |   | Dental Providers | Dentist | General Practice |
No ID Information.