Individual provider Active NPI

Tiffany Clato-Day

  • General Practice Dentistry
  • Humble, TX
National Provider Identifier
1043661887
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33240 Issued in TX
Practice address
9509 FM 1960 Bypass Rd W
Humble, TX 77338-4491
Phone
(281) 588-0068
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 33240 TX Primary

Addresses

Primary practice location

9509 FM 1960 Bypass Rd W
Humble, TX 77338-4491

Mailing address

6411 Highland Pine LN
Houston, TX 77091-2267
Phone (352) 328-0365

Other practice location 1

15521 Aldine Westfield Rd
Houston, TX 77032-2007
Phone (352) 328-0365

Other practice location 2

421 Broad St
suite #19
Utica, NY 13501-1208
Phone (352) 328-0365

Other practice location 3

421 Broad St
suite #19
Utica, NY 13501-1208
Phone (352) 328-0365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33240TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1043661887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 HIGHLAND PINE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912267",
            "telephone_number": "352-328-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9509 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384491",
            "telephone_number": "281-588-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15521 Aldine Westfield Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770322007",
            "country_code": "US",
            "telephone_number": "352-328-0365",
            "fax_number": "352-328-0365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Broad St",
            "address_2": "suite #19",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135011208",
            "country_code": "US",
            "telephone_number": "352-328-0365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Broad St",
            "address_2": "suite #19",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135011208",
            "country_code": "US",
            "telephone_number": "352-328-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLATO-DAY",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; 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.