Active NPI
Kusumkumar DDS PA
- Home Health Agency
- Pasadena, TX
National Provider Identifier
1073872636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 15177
- Legal business name
- KUSUMKUMAR DDS PA
- Practice address
- 1022 Pasadena Blvd BLDG Suitec
Pasadena, TX 77506-4750 - Phone
- (713) 473-4358
- Fax
- (713) 473-4358
- NPI assigned
- May 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kusum Kapoor Kumar, DDS
- Title
- Dentist
- Phone
- (713) 473-4358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 15177 | TX | Primary |
Addresses
Primary practice location
1022 Pasadena Blvd BLDG Suitec
Pasadena, TX 77506-4750
Mailing address
1022 Pasadena Blvd BLDG Suitec
Pasadena, TX 77506-4750
Phone (713) 473-4358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090946701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1022 Pasadena Blvd
Bldg Suitec
Pasadena, TX 77506
Phone (713) 473-4358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337126400000",
"number": "1073872636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 PASADENA BLVD BLDG SUITEC",
"city": "PASADENA",
"state": "TX",
"postal_code": "775064750",
"telephone_number": "713-473-4358",
"fax_number": "713-473-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 PASADENA BLVD BLDG SUITEC",
"city": "PASADENA",
"state": "TX",
"postal_code": "775064750",
"telephone_number": "713-473-4358",
"fax_number": "713-473-4358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUSUMKUMAR DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "KUSUM",
"authorized_official_middle_name": "KAPOOR",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "713-473-4358",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "15177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090946701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.