Organization Active NPI

Ideal Dental at West Little York

  • Dentist
  • Houston, TX
National Provider Identifier
1114301116
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IDEAL DENTAL AT WEST LITTLE YORK
Practice address
216 W Little York Rd
Ste B
Houston, TX 77076-1432
Phone
(832) 458-1068
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Derek Liang
Title
Dentist
Phone
(832) 316-0369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

216 W Little York Rd
Ste B
Houston, TX 77076-1432

Mailing address

216 W Little York Rd
Ste B
Houston, TX 77076-1432

National Provider Directory

National Provider Directory
Tax ID family
Ideal Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

216 W Little York Rd
Ste B
Houston, TX 77076
Phone (713) 699-0527

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1114301116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W LITTLE YORK RD",
            "address_2": "STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W LITTLE YORK RD",
            "address_2": "STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761432",
            "telephone_number": "832-458-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL AT WEST LITTLE YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-316-0369"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2015; 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.