Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174732440 Deactivated / Inactive NPI Male Practitioner

Dr. Luis Gabriel Pena , DDS, MS

Dentist - Prosthodontics • Houston, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Luis Pena has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2007
NPI Deactivation Date November 15, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Luis Pena, DDS, MS was a registered Dentist - Prosthodontics practicing in Houston, TX. Throughout an active medical career spanning 15 years, Dr. Pena provided care at the practice location at 4142 BELLAIRE BLVD until profile deactivation on 2022-11-15.

Practice Location & Contact Primary Location

Practice Address

4142 Bellaire Blvd

Houston, TX 770251008

Telephone 7136614234
Fax 7136617625
Associated Practice Facility / Clinic
🏢 Faride Certuche Dds.,p.a Facility NPI 1356569065

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
83 Specialists

Practicing in Houston, TX (350 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License TX 10663

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Mercedes Burger , DDS

Dentist - General Practice

NPI 1538317185

Doctor of Dental Surgery

Dr. Louise Carlson , DMD

Dentist - Prosthodontics

NPI 1760604235

Doctor of Dental Medicine

Dr. Rodney Beetar , DDS

Dentist - Prosthodontics

NPI 1942326442

Doctor of Dental Surgery

NPI 1982000873

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 15, 2022

Record deactivated on November 15, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4142 BELLAIRE BLVD, HOUSTON, TX 770251008 (Tel: 7136614234)

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Updated Business Mailing Address July 08, 2007

Registered at 4142 BELLAIRE BLVD, HOUSTON, TX 770251008 (Tel: 7136614234)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LUIS PENA, D.D.S.,M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #10663 in TX)

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Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174732440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 08, 2007
Deactivation Date: November 15, 2022

Mailing Address

4142 Bellaire Blvd

Houston, TX 770251008

Phone: 7136614234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.