Individual provider Active NPI

Katie E Stuchlik, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1164806485
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31237 Issued in TX
Practice address
1717 West 34TH Street, Suite 450
Houston, TX 77018
Phone
(832) 271-8220
Fax
(281) 395-4706
NPI assigned
Jul 16, 2015
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31237 TX Primary

Addresses

Primary practice location

1717 West 34TH Street, Suite 450
Houston, TX 77018

Mailing address

1717 West 34TH Street, Suite 450
Houston, TX 77018
Phone (832) 271-8220

Other names 1

  • Dr. Katie E Sowa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005001302 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527376995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31237TXMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1164806485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WEST 34TH STREET, SUITE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "832-271-8220",
            "fax_number": "281-395-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WEST 34TH STREET, SUITE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "832-271-8220",
            "fax_number": "281-395-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCHLIK",
        "first_name": "KATIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SOWA",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.