Individual provider Active NPI

Amy Vlachakis, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1164684841
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24057 Issued in TX
Practice address
820 Gessner Rd
Ste 1560
Houston, TX 77024-4289
Phone
(281) 974-4494
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24057 TX Primary

Addresses

Primary practice location

820 Gessner Rd
Ste 1560
Houston, TX 77024-4289

Mailing address

5211 Eigel St
A
Houston, TX 77007-3276
Phone (832) 563-9592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24057TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amymoran DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1164684841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 EIGEL ST",
            "address_2": "A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073276",
            "telephone_number": "832-563-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 GESSNER RD",
            "address_2": "STE 1560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244289",
            "telephone_number": "281-974-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLACHAKIS",
        "first_name": "AMY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24057",
            "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 Oct 26, 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.