Organization Active NPI

Aldtownelake

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1184008567
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
119333 Issued in TX
Legal business name
ALDTOWNELAKE
Practice address
9740 Barker Cypress
Suite 113
Cypress, TX 77433
Phone
(281) 970-4000
NPI assigned
Jul 15, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRIS BLUMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Dr. Chris M Blume, DDSNPI 1770672545
Title
Owner
Phone
(281) 970-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 119333 TX Primary

Addresses

Primary practice location

9740 Barker Cypress
Suite 113
Cypress, TX 77433

Mailing address

13611 Skinner Rd #220
Cypress, TX 77429
Phone (281) 970-4000

Other names 1

  • ALDTowneLake Former legal business name

National Provider Directory

National Provider Directory
Part of
Aldtownelake

Locations

9740 Barker Cypress Rd
Ste 113
Cypress, TX 77433
Phone (281) 502-8145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1184008567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD #220",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-970-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 BARKER CYPRESS",
            "address_2": "SUITE 113",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "281-970-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDTOWNELAKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRIS BLUME",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-970-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "119333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALDTowneLake",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.