Organization Active NPI

Chetwood Dental Clinic PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1154865442
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHETWOOD DENTAL CLINIC PLLC
Practice address
6910 Chetwood Dr Ste C
Houston, TX 77081-5612
Phone
(281) 451-7886
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Lan DoanNPI 1730316530
Title
Manager
Phone
(281) 451-7886

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

6910 Chetwood Dr Ste C
Houston, TX 77081-5612

Mailing address

1718 Cottage Landing LN
Houston, TX 77077-1923

National Provider Directory

National Provider Directory

Locations

6910 Chetwood Dr
Ste C
Houston, TX 77081
Phone (281) 451-7886

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": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1154865442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 COTTAGE LANDING LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 CHETWOOD DR STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815612",
            "telephone_number": "281-451-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETWOOD DENTAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-451-7886"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 6, 2016; 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.