La Michoacana Dental Clinic #2

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

18185 Issued in TX

Legal business name

LA MICHOACANA DENTAL CLINIC #2

Practice address

6500 Spencer Hwy
Suite 120
Pasadena, TX 77505-1704

Phone

(281) 416-4385

Fax

(281) 741-9546

NPI assigned

Jun 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Adelina P Monty, DDS

Title

Owner

Phone

(281) 416-4385

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1265794317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SPENCER HWY",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051704",
            "telephone_number": "281-416-4385",
            "fax_number": "281-741-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SPENCER HWY",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051704",
            "telephone_number": "281-416-4385",
            "fax_number": "281-741-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MICHOACANA DENTAL CLINIC #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MONTY",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-416-4385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "18185",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126781986",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270255489",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yucabeth M Kumenda, PHARM. D
• Kusumkumar DDS PA
• Stephen Wayne Kuykendall, DC
• L.R. Clarke, M.D.P.a.
• La Fe Pharmacy LLC
• Laura Ellen Laase, P.A.
• Laboratory Corporation of America
• Shayla Lynn Lackey, DDS
• Audra Louise Lafitte, RN, APRN, AGPCNP-BC
• Kelley Pauline Laird, PTA

• Dental Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.