Active NPI
KC Ventures Dental PLLC
- General Practice Dentistry
- Baytown, TX
National Provider Identifier
1013655141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33565 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
Other names 1
- Kam Dental
National Provider Directory
National Provider DirectoryLocations
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.