Active NPI
Somerset Holdings LLC
- Dental Clinic/Center
- Katy, TX
National Provider Identifier
1043987209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SOMERSET HOLDINGS LLC
- Practice address
- 4030 FM 1463 Rd Ste 103
Katy, TX 77494-5499 - Phone
- (832) 789-1997
- Fax
- (832) 789-3466
- NPI assigned
- Aug 25, 2021
- 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
- Mindy Park
- Title
- Cfo
- Phone
- (713) 569-9755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4030 FM 1463 Rd Ste 103
Katy, TX 77494-5499
Mailing address
7411 Stone Arbor Dr
Sugar Land, TX 77479-6381
Phone (713) 569-9755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32068436834 | Other | TX | DENTAL OFFICE |
Other names 1
- Avalon Dental Group
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | avalonfoc@thekatydentists.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4030 FM 1463 Rd
Ste 103
Katy, TX 77494
Phone (832) 789-1997
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cypress, TX
- NPI 1992021646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629849600000",
"number": "1043987209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 STONE ARBOR DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796381",
"telephone_number": "713-569-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 FM 1463 RD STE 103",
"city": "KATY",
"state": "TX",
"postal_code": "774945499",
"telephone_number": "832-789-1997",
"fax_number": "832-789-3466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERSET HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-569-9755"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL OFFICE",
"identifier": "32068436834",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "avalonfoc@thekatydentists.com",
"affiliation": "N",
"endpointDescription": "Company email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4030 Fm 1463 Rd Ste 103",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774945499",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Avalon Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.