Kids Dental Texas, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS DENTAL TEXAS, PLLC

Practice address

6047 Bissonnet St
Houston, TX 77081-6903

Phone

(713) 432-7222

Fax

(713) 432-7221

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Craig L Van Alfen, DDS

Title

Member

Phone

(801) 808-9465

Specialties & licenses 1

Addresses

Other names 1

• Kids Dental Doing business as

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1063736767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770816903",
            "telephone_number": "713-432-7222",
            "fax_number": "713-432-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770816903",
            "telephone_number": "713-432-7222",
            "fax_number": "713-432-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "VAN ALFEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-808-9465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kids 'N Teens Clinics
• Kids 'N Teens Clinics, P.a.
• Kids Care Pediatrics, PA.
• Kids Connect Occupational Therapy, L.L.C.
• Kids DC, LLC
• Kids First Urgent Care PLLC
• Kids Home Care of Texas, Inc
• Kidvancement LLC
• Adera K. Kidwell, PA-C
• Kidz K'Nect Resource Center

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.