NPIMap

Organization Active NPI

Avalon Dental Group, P.C.

  • Dentist
  • Sugar Land, TX
National Provider Identifier
1053685297
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23231 Issued in TX
Legal business name
AVALON DENTAL GROUP, P.C.
Practice address
2205 Williams Trace Blvd
Ste 108
Sugar Land, TX 77478-4514
Phone
(281) 240-5559
Fax
(281) 240-5557
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Dannie S Yu, D.D.S.
Title
Owner/Dentist
Phone
(281) 240-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23231 TX Primary

Addresses

Primary practice location

2205 Williams Trace Blvd
Ste 108
Sugar Land, TX 77478-4514

Mailing address

2205 Williams Trace Blvd
Ste 108
Sugar Land, TX 77478-4514
Phone (281) 240-5559

National Provider Directory

National Provider Directory
Tax ID family
Avalon Dental Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1053685297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD",
            "address_2": "STE 108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784514",
            "telephone_number": "281-240-5559",
            "fax_number": "281-240-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD",
            "address_2": "STE 108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784514",
            "telephone_number": "281-240-5559",
            "fax_number": "281-240-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "DANNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-240-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.