Vanida Wongchukit DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20976 Issued in TX

Legal business name

VANIDA WONGCHUKIT DDS PA

Practice address

4727 Lexington Blvd
Missouri City, TX 77459-2825

Phone

(281) 403-3595

Fax

(281) 403-3709

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vanida Wongchukit, DDS

Title

President

Phone

(281) 403-3595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dentists At Lexington Doing business as

Locations

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1053568451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592825",
            "telephone_number": "281-403-3595",
            "fax_number": "281-403-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592825",
            "telephone_number": "281-403-3595",
            "fax_number": "281-403-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANIDA WONGCHUKIT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "WONGCHUKIT",
        "authorized_official_first_name": "VANIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-403-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183580301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists At Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda C Uyanwune
• Edward Uyanwune
• Theresa Uyanwune
• Sandra Marie Valdez, RN
• Valiantmd PLLC
• Dana Vanrenterghem
• John Shibi Varghese
• Shaji Varghese
• Silvy Varghese
• Archana S. Varma, M.D

• General Practice Dentistry in Missouri City, TX
• Providers in Missouri City, 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 Aug 27, 2008; 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.