NPIMap

Organization Active NPI

BLC Dental PLLC

Doing business as Advance Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1275654931
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22749 Issued in TX
Legal business name
BLC DENTAL PLLC
Doing business as
Advance Dental
Practice address
5203-H Fm1960 West
Houston, TX 77069
Phone
(281) 880-8771
Fax
(281) 880-7767
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bryan Chu, DDSNPI 1497830608
Title
President
Phone
(281) 880-8771

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22749 TX Primary

Addresses

Primary practice location

5203-H Fm1960 West
Houston, TX 77069

Mailing address

5203-H Fm1960 West
Houston, TX 77069
Phone (281) 880-8771

Other names 1

  • Advance Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BLC 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

5203 FM 1960 Rd W
Ste H
Houston, TX 77069
Phone (281) 880-8771

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275654931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203-H FM1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77069",
            "telephone_number": "281-880-8771",
            "fax_number": "281-880-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203-H FM1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77069",
            "telephone_number": "281-880-8771",
            "fax_number": "281-880-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-880-8771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.