Active NPI
Phylicia Combest, DDS
- Pediatric Dentistry
- Houston, TX
National Provider Identifier
1124438668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 31638
- Practice address
- 900 S Wayside Dr Ste 100
Houston, TX 77023-3418 - Phone
- (832) 203-7968
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN1001361 | DC | |
| Pediatric Dentistry | 1223P0221X | 31638 | TX | Primary |
Addresses
Primary practice location
900 S Wayside Dr Ste 100
Houston, TX 77023-3418
Mailing address
3852 Telephone Rd Apt 3204
Houston, TX 77023-5754
Phone (228) 249-2184
Other practice location 1
2887 S Richey St
Houston, TX 77017-7215
Phone (832) 831-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31638 | TX | MD | Clinical Social Worker |
| DEN1001361 | DC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Dental, PC | Pediatric Dentistry | Current | Accepting new patients |
| Lucida Dental PLLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- phylicia.combest.1@13131.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Richmond, TX
- NPI 1295302107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577836800000",
"number": "1124438668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3852 TELEPHONE RD APT 3204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770235754",
"telephone_number": "228-249-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S WAYSIDE DR STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770233418",
"telephone_number": "832-203-7968"
}
],
"practiceLocations": [
{
"address_1": "2887 S Richey St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770177215",
"country_code": "US",
"telephone_number": "832-831-5173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMBEST",
"first_name": "PHYLICIA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2020-01-01",
"certification_date": "2020-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN1001361",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "31638",
"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 Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.