Organization Active NPI

Le Blanc Cosmetic Dentistry and Aesthetics PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1073206066
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LE BLANC COSMETIC DENTISTRY AND AESTHETICS PLLC
Practice address
9655 Katy Fwy Ste 160
Houston, TX 77024-1386
Phone
(281) 888-0921
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dr. Katya Kulic, DDSNPI 1780962860
Title
President
Phone
(281) 888-0921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9655 Katy Fwy Ste 160
Houston, TX 77024-1386

Mailing address

9655 Katy Fwy Ste 160
Houston, TX 77024-1386
Phone (281) 888-0921

National Provider Directory

National Provider Directory

Locations

9655 Katy Fwy
Ste 160
Houston, TX 77024
Phone (281) 888-0921

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1073206066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 KATY FWY STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241386",
            "telephone_number": "281-888-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 KATY FWY STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241386",
            "telephone_number": "281-888-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE BLANC COSMETIC DENTISTRY AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "KULIC",
        "authorized_official_first_name": "KATYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-888-0921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.