Organization Active NPI

McKaskle Family Dentistry

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1346442944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19830 Issued in TX
Legal business name
MCKASKLE FAMILY DENTISTRY
Practice address
22167 Westheimer Pkwy
Suite 110
Katy, TX 77450-8300
Phone
(281) 599-8003
Fax
(281) 599-7707
NPI assigned
Jun 5, 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. Derek Blake McKaskle, D.D.S.NPI 1316055411
Title
President
Phone
(281) 599-8003

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 19830 TX Primary

Addresses

Primary practice location

22167 Westheimer Pkwy
Suite 110
Katy, TX 77450-8300

Mailing address

22167 Westheimer Pkwy
Suite 110
Katy, TX 77450-8300
Phone (281) 599-8003

National Provider Directory

National Provider Directory

Locations

22167 Westheimer Pkwy
Ste 110
Katy, TX 77450
Phone (281) 407-5442

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346442944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY",
            "address_2": "SUITE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508300",
            "telephone_number": "281-599-8003",
            "fax_number": "281-599-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY",
            "address_2": "SUITE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508300",
            "telephone_number": "281-599-8003",
            "fax_number": "281-599-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKASKLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKASKLE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-599-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19830",
            "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 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.