Organization Active NPI

KC Ventures Dental PLLC

  • General Practice Dentistry
  • Baytown, TX
National Provider Identifier
1013655141
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KC VENTURES DENTAL PLLC
Doing business as
Kam Dental
Practice address
6920 Garth Rd
Baytown, TX 77521-9646
Phone
(281) 421-5950
Fax
(281) 421-7828
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kamdi Irondi, DDS
Title
Owner
Phone
(281) 421-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6920 Garth Rd
Baytown, TX 77521-9646

Mailing address

6920 Garth Rd
Baytown, TX 77521-9646

Other identifiers 1

IdentifierTypeStateIssuer
33565OtherTXTEXAS STATE BOARD OF DENTAL EXAMINERS

Other names 1

  • Kam Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6920 Garth Rd
Baytown, TX 77521
Phone (281) 421-5950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1013655141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-421-5950",
            "fax_number": "281-421-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC VENTURES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "IRONDI",
        "authorized_official_first_name": "KAMDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-421-5950",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "33565",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kam Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.