Organization Active NPI

Tippit Dental Group Brenham, PLLC

  • Dental Clinic/Center
  • Brenham, TX
National Provider Identifier
1104344373
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TIPPIT DENTAL GROUP BRENHAM, PLLC
Practice address
501 Medical Pkwy
Brenham, TX 77833-5405
Phone
(979) 836-5666
Fax
(979) 251-9945
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Theresa Lynn Navarro, SHRM-SCP
Title
Business/HR Manager
Phone
(713) 465-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

501 Medical Pkwy
Brenham, TX 77833-5405

Mailing address

9099 Katy Fwy Ste 140
Houston, TX 77024-1632
Phone (713) 465-1860

National Provider Directory

National Provider Directory

Locations

501 Medical Pkwy
Brenham, TX 77833
Phone (979) 836-5666

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": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1104344373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 KATY FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241632",
            "telephone_number": "713-465-1860",
            "fax_number": "713-932-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335405",
            "telephone_number": "979-836-5666",
            "fax_number": "979-251-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPIT DENTAL GROUP BRENHAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS/HR MANAGER",
        "authorized_official_telephone_number": "713-465-1860",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SHRM-SCP"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.