Organization Active NPI

Allan Hamburg D.D.S., P.C.

Doing business as Legacy Dental Care

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1104939198
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALLAN HAMBURG D.D.S., P.C.
Doing business as
Legacy Dental Care
Practice address
955 Dairy Ashford St
Suite 107
Houston, TX 77079-5310
Phone
(281) 531-7000
Fax
(281) 531-7023
NPI assigned
Aug 16, 2006
Organization subpart
Yes
Parent organization
ALLAN HAMBURG D.D.S.,P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Mary Boney
Title
Dir HR/Professional Relations
Phone
(281) 296-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

955 Dairy Ashford St
Suite 107
Houston, TX 77079-5310

Mailing address

26615 Oak Ridge Dr
The Woodlands, TX 77380-1968
Phone (281) 296-8600

Other names 1

  • Legacy Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allan Hamburg DDS PC7 organizations share this tax ID, including this one
Part of
Allan Hamburg DDS PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26615 Oak Ridge Dr
The Woodlands, TX 77380
Phone (281) 296-8600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1104939198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26615 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801968",
            "telephone_number": "281-296-8600",
            "fax_number": "281-296-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD ST",
            "address_2": "SUITE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795310",
            "telephone_number": "281-531-7000",
            "fax_number": "281-531-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN HAMBURG D.D.S., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLAN HAMBURG D.D.S.,P.C.",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BONEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIR HR/PROFESSIONAL RELATIONS",
        "authorized_official_telephone_number": "281-296-8600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.