Active NPI
New Caney Dental PLLC
- General Practice Dentistry
- Victoria, TX
National Provider Identifier
1255706685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25968
- Legal business name
- NEW CANEY DENTAL PLLC
- Practice address
- 4109 Houston Hwy
Victoria, TX 77901-4700 - Phone
- (361) 482-0416
- NPI assigned
- Dec 10, 2015
- 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
- Mr. Abhishek Verma
- Title
- Credentialing Coordinator
- Phone
- (832) 369-6775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25968 | TX | Primary |
Addresses
Primary practice location
4109 Houston Hwy
Victoria, TX 77901-4700
Mailing address
14623 Hampton Green LN
Houston, TX 77044-5789
National Provider Directory
National Provider Directory- Tax ID family
- New Caney Dental PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- New Caney, TX
- NPI 1497155337
Locations
4109 Houston Hwy
Victoria, TX 77901
Phone (361) 482-0416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1255706685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14623 HAMPTON GREEN LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770445789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 HOUSTON HWY",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779014700",
"telephone_number": "361-482-0416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CANEY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-10",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "VERMA",
"authorized_official_first_name": "ABHISHEK",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "832-369-6775",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.