Organization Active NPI

TDT & Associates, PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1144580689
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19047 Issued in TX
Legal business name
TDT & ASSOCIATES, PA
Practice address
1301 Waugh Dr
Suite 200
Houston, TX 77019-3907
Phone
(713) 526-2424
Fax
(713) 526-2429
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Ms. Kristy D Tran
Title
Office Manager
Phone
(713) 526-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 19047 TX Primary

Addresses

Primary practice location

1301 Waugh Dr
Suite 200
Houston, TX 77019-3907

Mailing address

1301 Waugh Dr
Suite 200
Houston, TX 77019-3907
Phone (713) 526-2424

Other identifiers 1

IdentifierTypeStateIssuer
0094963-02MedicaidTX

National Provider Directory

National Provider Directory

Locations

1301 Waugh Dr
Ste 200
Houston, TX 77019
Phone (713) 526-2424

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": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1144580689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WAUGH DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193907",
            "telephone_number": "713-526-2424",
            "fax_number": "713-526-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WAUGH DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193907",
            "telephone_number": "713-526-2424",
            "fax_number": "713-526-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDT & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-526-2424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094963-02",
            "state": "TX"
        }
    ],
    "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 May 17, 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.