Organization Active NPI

David a. Hallenbeck, DDS, PLLC

  • Pediatric Dentistry
  • Tomball, TX
National Provider Identifier
1225640600
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DAVID A. HALLENBECK, DDS, PLLC
Practice address
25760 Kuykendahl Rd Ste a
Tomball, TX 77375-2733
Phone
(713) 944-4199
NPI assigned
Aug 18, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. David Aloysius Hallenbeck, DDSNPI 1790218154
Title
Owner
Phone
(713) 944-4199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

NPPES NPI Registry

Primary practice location

25760 Kuykendahl Rd Ste a
Tomball, TX 77375-2733

Mailing address

25760 Kuykendahl Rd Ste a
Tomball, TX 77375-2733
Phone (713) 944-4199

Other names 1

NPPES NPI Registry
  • Creekside Pediatric Dentistry Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2020.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1225640600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25760 KUYKENDAHL RD STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752733",
            "telephone_number": "713-944-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25760 KUYKENDAHL RD STE A",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752733",
            "telephone_number": "713-944-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. HALLENBECK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HALLENBECK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALOYSIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-944-4199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.