Active NPI
Cristina Elena Xydas, DDS, MS
- Periodontics
- Katy, TX
National Provider Identifier
1295963593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 24496
- Practice address
- 2427 N Fry Rd
Katy, TX 77449-6220 - Phone
- (281) 599-1755
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 24496 | TX | Primary |
Addresses
Primary practice location
2427 N Fry Rd
Katy, TX 77449-6220
Mailing address
2427 N Fry Rd
Katy, TX 77449-6220
Phone (281) 599-1755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24496 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1295963593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2427 N FRY RD",
"city": "KATY",
"state": "TX",
"postal_code": "774496220",
"telephone_number": "281-599-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 N FRY RD",
"city": "KATY",
"state": "TX",
"postal_code": "774496220",
"telephone_number": "281-599-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XYDAS",
"first_name": "CRISTINA",
"middle_name": "ELENA",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "24496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.