Organization Active NPI

Blvd Dentistry & Orthodontics - Cypress PLLC

Doing business as BLVD Dentistry & Orthodontics - Cypress

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1316791890
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLVD DENTISTRY & ORTHODONTICS - CYPRESS PLLC
Doing business as
BLVD Dentistry & Orthodontics - Cypress
Practice address
9620 Fry Rd
Ste 300
Cypress, TX 77433
Phone
(281) 270-5282
NPI assigned
Apr 12, 2024
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Paola Ramos
Title
Credentialing Team Lead
Phone
(972) 869-3789

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU
General Practice Dentistry 1223G0001X NU Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU

Addresses

Primary practice location

9620 Fry Rd
Ste 300
Cypress, TX 77433

Mailing address

9620 Fry Rd Ste 300
Cypress, TX 77433-4099

Other names 1

  • BLVD Dentistry & Orthodontics - Cypress Doing business as

National Provider Directory

National Provider Directory

Locations

9620 Fry Rd
Ste 300
Cypress, TX 77433
Phone (281) 270-5282

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1316791890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 FRY RD STE 300",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 FRY RD",
            "address_2": "STE 300",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "281-270-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLVD DENTISTRY & ORTHODONTICS - CYPRESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLVD Dentistry & Orthodontics - Cypress",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.