Active NPI
CW Dental PLLC
- General Practice Dentistry
- Richmond, TX
National Provider Identifier
1245087741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CW DENTAL PLLC
- Practice address
- 7770 W Grand Pkwy S Ste E
Richmond, TX 77406-5833 - Phone
- (281) 713-4990
- Fax
- (281) 713-4948
- NPI assigned
- May 2, 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
- Yican Cao
- Title
- Manager
- Phone
- (917) 502-8600
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
7770 W Grand Pkwy S Ste E
Richmond, TX 77406-5833
Mailing address
7770 W Grand Pkwy S Ste E
Richmond, TX 77406-5833
Phone (281) 713-4990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240812001826 | TX | Part B Supplier - Clinic/Group Practice | 3971041773 |
Receives reassigned benefits from 1 practitioner Practice locations: Richmond, TX |
National Provider Directory
National Provider DirectoryLocations
7770 W Grand Pkwy S
Ste E
Richmond, TX 77406
Phone (281) 713-4990
Practitioners & affiliated clinicians
Practitioners 3
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": "1714608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715990400000",
"number": "1245087741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 W GRAND PKWY S STE E",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774065833",
"telephone_number": "281-713-4990",
"fax_number": "281-713-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7770 W GRAND PKWY S STE E",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774065833",
"telephone_number": "281-713-4990",
"fax_number": "281-713-4948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CW DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-18",
"certification_date": "2024-05-18",
"status": "A",
"authorized_official_last_name": "CAO",
"authorized_official_first_name": "YICAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-502-8600"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.