NPIMap

Organization Active NPI

Childrens Dentistry of Texas

  • Pediatric Dentistry
  • Richmond, TX
National Provider Identifier
1114255080
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21396 Issued in TX
Legal business name
CHILDRENS DENTISTRY OF TEXAS
Practice address
1601 Main St Ste 307
Richmond, TX 77469-3230
Phone
(281) 866-1858
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Vincent Luan, DDSNPI 1548459662
Title
Owner
Phone
(281) 238-4746

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 21396 TX Primary

Addresses

Primary practice location

1601 Main St Ste 307
Richmond, TX 77469-3230

Mailing address

11152 Westheimer Rd # 701
Houston, TX 77042-3208
Phone (281) 866-1858

National Provider Directory

National Provider Directory

Locations

1601 Main St
Ste 307
Richmond, TX 77469
Phone (281) 238-4746

Practitioners & affiliated clinicians

Practitioners 6

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1114255080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11152 WESTHEIMER RD # 701",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423208",
            "telephone_number": "281-866-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 307",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "281-866-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTISTRY OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "LUAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-238-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.