Organization Active NPI

Cypress Lakes Dental

  • Dental Clinic/Center
  • Cypress, TX
National Provider Identifier
1114262961
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23064 Issued in TX
Legal business name
CYPRESS LAKES DENTAL
Practice address
26281 Northwest Fwy
Suite 700
Cypress, TX 77429-7802
Phone
(832) 215-2822
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Satvika PinnamaneniNPI 1720285968
Title
Ceo
Phone
(832) 215-2822

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
Dental Clinic/Center 261QD0000X 23064 TX Primary

Addresses

Primary practice location

26281 Northwest Fwy
Suite 700
Cypress, TX 77429-7802

Mailing address

26281 Northwest Fwy
Suite 700
Cypress, TX 77429-7802
Phone (832) 215-2822

National Provider Directory

National Provider Directory

Locations

26281 Northwest Fwy
Ste 700
Cypress, TX 77429
Phone (281) 758-0060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1114262961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26281 NORTHWEST FWY",
            "address_2": "SUITE 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297802",
            "telephone_number": "832-215-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26281 NORTHWEST FWY",
            "address_2": "SUITE 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297802",
            "telephone_number": "832-215-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS LAKES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "PINNAMANENI",
        "authorized_official_first_name": "SATVIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-215-2822"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.