Organization Active NPI

Citra Endodontics PLLC

  • Dental Clinic/Center
  • Rosenberg, TX
National Provider Identifier
1124633284
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CITRA ENDODONTICS PLLC
Practice address
4130 FM 762 Rd Ste 500
Rosenberg, TX 77469-6434
Phone
(281) 671-7288
NPI assigned
Sep 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Audrey Hsin, DDSNPI 1902212764
Title
Endodontist
Phone
(281) 671-7288

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 Primary

Addresses

Primary practice location

4130 FM 762 Rd Ste 500
Rosenberg, TX 77469-6434

Mailing address

4130 FM 762 Rd Ste 500
Rosenberg, TX 77469-6434
Phone (281) 671-7288

Other names 1

  • Citra Endodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL citra.endo@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4130 FM 762 Rd
Ste 500
Rosenberg, TX 77469
Phone (281) 671-7288

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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1124633284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 FM 762 RD STE 500",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774696434",
            "telephone_number": "281-671-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 FM 762 RD STE 500",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774696434",
            "telephone_number": "281-671-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRA ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "HSIN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "281-671-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "citra.endo@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4130 Fm 762 Rd Ste 500",
            "city": "Rosenberg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774696434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Citra Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.