Organization Active NPI

Niche Dental PPLC

  • Health Service Clinic/Center
  • Katy, TX
National Provider Identifier
1093471500
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NICHE DENTAL PPLC
Practice address
4031 FM 1463 Rd Ste 99
Katy, TX 77494-5964
Phone
(602) 472-1318
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Farida Bhanu Noorbash, DDS,MBANPI 1508427410
Title
Doctor
Phone
(602) 472-1318

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4031 FM 1463 Rd Ste 99
Katy, TX 77494-5964

Mailing address

3203 Golden Honey LN
Richmond, TX 77406-2690
Phone (602) 472-1318

National Provider Directory

National Provider Directory

Locations

4031 FM 1463 Rd
Ste 99
Katy, TX 77494
Phone (602) 472-1318

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": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1093471500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 GOLDEN HONEY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062690",
            "telephone_number": "602-472-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 FM 1463 RD STE 99",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945964",
            "telephone_number": "602-472-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHE DENTAL PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "NOORBASH",
        "authorized_official_first_name": "FARIDA",
        "authorized_official_middle_name": "BHANU",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-472-1318",
        "authorized_official_credential": "DDS,MBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.