Organization Active NPI

JP Dental, PC

  • Pediatric Dentistry
  • Richmond, TX
National Provider Identifier
1295302107
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JP DENTAL, PC
Practice address
4808 Waterview Town Center Dr
Suite 500
Richmond, TX 77407
Phone
(832) 500-0664
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Dr. Phylicia R Combest, DDSNPI 1124438668
Title
Co-Owner/ Pediatric Dentist
Phone
(228) 249-2184

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4808 Waterview Town Center Dr
Suite 500
Richmond, TX 77407

Mailing address

4808 Waterview Town Center Dr
Suite 500
Richmond, TX 77407
Phone (832) 500-0664

Other names 1

  • Aliana Pediatric Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smile@alianakids.com

National Provider Directory

National Provider Directory

Locations

4808 Waterview Town Center Dr
Ste 500
Richmond, TX 77407
Phone (832) 500-0664

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": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1295302107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 WATERVIEW TOWN CENTER DR",
            "address_2": "SUITE 500",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-500-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 WATERVIEW TOWN CENTER DR",
            "address_2": "SUITE 500",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-500-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "COMBEST",
        "authorized_official_first_name": "PHYLICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER/ PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "228-249-2184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smile@alianakids.com",
            "affiliation": "N",
            "address_1": "4808 Waterview Town Center Dr",
            "address_2": "Suite 500",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aliana Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aliana Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.