Cosmo Dental Cypress

Primary specialty

DentistTaxonomy code 122300000X

License

19871 Issued in TX

Legal business name

COSMO DENTAL CYPRESS

Practice address

12343 Barker Cypress Rd
Suite 110
Cypress, TX 77429-5685

Phone

(832) 788-4922

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Nguyen, DDS

Title

President

Phone

(832) 788-4922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1154676898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12343 BARKER CYPRESS RD",
            "address_2": "SUITE 110",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295685",
            "telephone_number": "832-788-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12343 BARKER CYPRESS RD",
            "address_2": "SUITE 110",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295685",
            "telephone_number": "832-788-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMO DENTAL CYPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-788-4922",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.