Ald Cypress PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19333 Issued in TX

Legal business name

ALD CYPRESS PLLC

Doing business as

Active Life Dentistry

Practice address

13611 Skinner Rd
Suite 100
Cypress, TX 77429-2797

Phone

(281) 970-4000

Fax

(281) 213-4105

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Michael Blume, DDS

Title

Dentist

Phone

(281) 970-4000

Specialties & licenses 1

Addresses

Other names 1

• Active Life Dentistry Doing business as

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1073904413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292797",
            "telephone_number": "281-970-4000",
            "fax_number": "281-213-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292797",
            "telephone_number": "281-970-4000",
            "fax_number": "281-213-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALD CYPRESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-970-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Life Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Active Life Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norhan Al Getany, DDS
• Sarah Nashat Al Obaidi, MD
• Baraa Alabd Alrazzak, MD
• Fadi M Alameddine, M.D.
• Ald Bridgeland, PLLC
• Ald Lakewood, PLLC
• Aldtownelake
• Malik A Alexander-Drew
• Anarely Alfaso
• Mir Ali, MD

• Dental Clinic/Center in Cypress, TX
• Providers in Cypress, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.