Organization Active NPI

Good Night DDS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Conroe, TX
National Provider Identifier
1174404537
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GOOD NIGHT DDS PLLC
Practice address
2040 N Loop 336 W Ste 230
Conroe, TX 77304-3579
Phone
(832) 770-4509
Fax
(281) 292-2125
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Kelly M Leblanc, DDSNPI 1912007295
Title
President
Phone
(281) 989-4320

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2040 N Loop 336 W Ste 230
Conroe, TX 77304-3579

Mailing address

14911 Pollux Dr
Willis, TX 77318-5080
Phone (281) 989-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251015003096 TX DME Supplier - Oral Surgery - Dentist 1355838186 Practice locations: Conroe, TX
O20260108002395 TX Part B Supplier - Clinic/Group Practice 1355838186 Receives reassigned benefits from 1 practitioner
Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

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": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1174404537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 POLLUX DR",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185080",
            "telephone_number": "281-989-4320",
            "fax_number": "281-292-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 230",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043579",
            "telephone_number": "832-770-4509",
            "fax_number": "281-292-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NIGHT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-989-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.