Organization Active NPI

Texas Little Teeth Pediatric Dentistry

  • Pediatric Dentistry
  • Stafford, TX
National Provider Identifier
1073398566
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TEXAS LITTLE TEETH PEDIATRIC DENTISTRY
Practice address
12412 S Kirkwood Rd
Stafford, TX 77477-2835
Phone
(832) 899-4995
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Shipra SharmaNPI 1275024838
Title
Lead Pediatric Dentist
Phone
(858) 847-8525

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

12412 S Kirkwood Rd
Stafford, TX 77477-2835

Mailing address

12412 S Kirkwood Rd
Stafford, TX 77477-2835
Phone (832) 899-4995

National Provider Directory

National Provider Directory

Locations

12412 S Kirkwood Rd
Stafford, TX 77477
Phone (281) 277-6453

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": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1073398566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772835",
            "telephone_number": "832-899-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772835",
            "telephone_number": "832-899-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS LITTLE TEETH PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SHIPRA",
        "authorized_official_title_or_position": "LEAD PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "858-847-8525",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.