Organization Active NPI

Blake Null Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingwood, TX
National Provider Identifier
1275140352
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BLAKE NULL ORTHODONTICS PLLC
Practice address
3820 Sandy Forks Dr
Kingwood, TX 77339-2618
Phone
(281) 360-3307
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Dr. David Blake Null, DMDNPI 1568987584
Title
Owner
Phone
(205) 368-0567

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3820 Sandy Forks Dr
Kingwood, TX 77339-2618

Mailing address

3820 Sandy Forks Dr
Kingwood, TX 77339-2618

Other names 1

  • Richards and Null Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3820 Sandy Forks Dr
Kingwood, TX 77339
Phone (281) 360-3307

Practitioners & affiliated clinicians

Practitioners 2

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": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1275140352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 SANDY FORKS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 SANDY FORKS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392618",
            "telephone_number": "281-360-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE NULL ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "NULL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-368-0567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richards and Null Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.