Organization Active NPI

Meyerland Family Dentistry PC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1124319488
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
022894 Issued in TX
Legal business name
MEYERLAND FAMILY DENTISTRY PC
Practice address
5411 S Braeswood Blvd
Houston, TX 77096-4001
Phone
(713) 723-7200
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Chiranjeevi Tummala, DDSNPI 1336318658
Title
Owner Dentist
Phone
(713) 723-7200

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 022894 TX Primary

Addresses

Primary practice location

5411 S Braeswood Blvd
Houston, TX 77096-4001

Mailing address

5411 S Braeswood Blvd
Houston, TX 77096-4001
Phone (713) 723-7200

National Provider Directory

National Provider Directory

Locations

5411 S Braeswood Blvd
Houston, TX 77096
Phone (713) 723-7200

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": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1124319488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964001",
            "telephone_number": "713-723-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964001",
            "telephone_number": "713-723-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERLAND FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "TUMMALA",
        "authorized_official_first_name": "CHIRANJEEVI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "713-723-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "022894",
            "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 Apr 21, 2011; 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.