Organization Active NPI

Ideal Dental of Kingwood PLLC

  • Dentist
  • Kingwood, TX
National Provider Identifier
1205200128
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IDEAL DENTAL OF KINGWOOD PLLC
Practice address
25653 Highway 59 N
Suite 207
Kingwood, TX 77339-1796
Phone
(832) 463-4411
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Sulman Ahmed, DMD
Title
Ceo
Phone
(972) 361-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

25653 Highway 59 N
Suite 207
Kingwood, TX 77339-1796

Mailing address

25653 Highway 59 N
Suite 207
Kingwood, TX 77339-1796
Phone (832) 463-4411

National Provider Directory

National Provider Directory

Locations

25653 Highway 59 N
Ste 207
Kingwood, TX 77339
Phone (832) 349-6286

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1205200128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25653 HIGHWAY 59 N",
            "address_2": "SUITE 207",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391796",
            "telephone_number": "832-463-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25653 HIGHWAY 59 N",
            "address_2": "SUITE 207",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391796",
            "telephone_number": "832-463-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL OF KINGWOOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-361-0600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.