Organization Active NPI

New Caney Dental PLLC

  • General Practice Dentistry
  • Victoria, TX
National Provider Identifier
1255706685
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25968 Issued in TX
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

Updated by the provider on Jan 14, 2019

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.