Organization Active NPI

National Dental Care PLLC

  • Dentist
  • Houston, TX
National Provider Identifier
1164157541
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NATIONAL DENTAL CARE PLLC
Practice address
12235 Queenston Blvd
Houston, TX 77095
Phone
(626) 848-6770
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Authorized official

Name
Wan Ling Tan, DDSNPI 1700263860
Title
Vice President
Phone
(832) 930-7758

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12235 Queenston Blvd
Houston, TX 77095

Mailing address

12235 Queenston Blvd Ste C
Houston, TX 77095-5333
Phone (832) 930-7758

National Provider Directory

National Provider Directory

Locations

12235 Queenston Blvd
#C
Houston, TX 77095
Phone (832) 930-7758

12235 Queenston Blvd
Houston, TX 77095
Phone (626) 848-6770

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": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676160000000",
    "number": "1164157541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 QUEENSTON BLVD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955333",
            "telephone_number": "832-930-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 QUEENSTON BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "626-848-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "WAN LING",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "832-930-7758",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Feb 12, 2023; 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.