NPIMap

Organization Active NPI

KMN Dental PC

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1194183251
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0023225 Issued in TX
Legal business name
KMN DENTAL PC
Practice address
23123 Cinco Ranch Blvd
Ste 230
Katy, TX 77494-4042
Phone
(281) 394-3440
Fax
(281) 394-3933
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Sandeep MammenNPI 1174582522
Title
Owner
Phone
(281) 394-3440

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0023225 TX Primary

Addresses

Primary practice location

23123 Cinco Ranch Blvd
Ste 230
Katy, TX 77494-4042

Mailing address

23123 Cinco Ranch Blvd
Ste 230
Katy, TX 77494-4042
Phone (281) 394-3440

National Provider Directory

National Provider Directory

Locations

23123 Cinco Ranch Blvd
Ste 230
Katy, TX 77494
Phone (281) 394-3440

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": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1194183251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23123 CINCO RANCH BLVD",
            "address_2": "STE 230",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944042",
            "telephone_number": "281-394-3440",
            "fax_number": "281-394-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23123 CINCO RANCH BLVD",
            "address_2": "STE 230",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944042",
            "telephone_number": "281-394-3440",
            "fax_number": "281-394-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MAMMEN",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-394-3440"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0023225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.