Active NPI
Conroe Dental Associates
- Dental Clinic/Center
- Conroe, TX
National Provider Identifier
1194580092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CONROE DENTAL ASSOCIATES
- Practice address
- 333 N Rivershire Dr Ste 280
Conroe, TX 77304-2799 - Phone
- (936) 756-9884
- NPI assigned
- Feb 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gina Khong, DDS
- Title
- Owner
- Phone
- (817) 683-9110
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
333 N Rivershire Dr Ste 280
Conroe, TX 77304-2799
Mailing address
4300 Dunlavy St Apt 2135
Houston, TX 77006-5404
Phone (817) 683-9110
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Conroe, TX
- NPI 1518578194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1194580092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 DUNLAVY ST APT 2135",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065404",
"telephone_number": "817-683-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N RIVERSHIRE DR STE 280",
"city": "CONROE",
"state": "TX",
"postal_code": "773042799",
"telephone_number": "936-756-9884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONROE DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "KHONG",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-683-9110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"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 Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.