Katy Dental Group, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30946 Issued in TX

Legal business name

KATY DENTAL GROUP, PLLC

Practice address

1530 W Grand Pkwy S
Katy, TX 77494-8257

Phone

(617) 817-6449

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Siu, D.M.D.

Title

Dentist, Manager

Phone

(617) 817-6449

Specialties & licenses 1

Addresses

Other names 1

• The Dental People Doing business as

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1033570924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 COBIA DR",
            "address_2": "SUITE 9251",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946964",
            "telephone_number": "617-817-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W GRAND PKWY S",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948257",
            "telephone_number": "617-817-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SIU",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DENTIST, MANAGER",
        "authorized_official_telephone_number": "617-817-6449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental People",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katy Clinic PLLC
• Katy Counseling PC
• Katy Critical Care Consultants PLLC
• Katy Dental
• Katy Dental Arts, PLLC
• Katy Dental Studio
• Katy Dentists PA
• Katy Dermatology, P.a.
• Katy Diabetes and Endocrinology PLLC
• Katy Diagnostics Associates PLLC

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.