Organization Active NPI

Somerset Holdings LLC

  • Dental Clinic/Center
  • Katy, TX
National Provider Identifier
1043987209
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Aug 25, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32068436834OtherTXDENTAL OFFICE

Other names 1

  • Avalon Dental Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address avalonfoc@thekatydentists.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.