Organization Active NPI

Contemporary Endodontics

  • Endodontics
  • Houston, TX
National Provider Identifier
1346679719
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22550 Issued in TX
Legal business name
CONTEMPORARY ENDODONTICS
Practice address
19235 Katy Freeway South
300B
Houston, TX 77094
Phone
(281) 674-6687
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. David Su Fong Wan, DDS MS
Title
Dentist/Owner
Phone
(281) 647-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 22550 TX Primary

Addresses

Primary practice location

19235 Katy Freeway South
300B
Houston, TX 77094

Mailing address

19235 Katy Freeway South
300B
Houston, TX 77094
Phone (281) 674-6687

National Provider Directory

National Provider Directory
Tax ID family
Contemporary Endodontics2 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

19235 Katy Fwy
#S300B
Houston, TX 77094
Phone (281) 674-6687

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1346679719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19235 KATY FREEWAY SOUTH",
            "address_2": "300B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77094",
            "telephone_number": "281-674-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19235 KATY FREEWAY SOUTH",
            "address_2": "300B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77094",
            "telephone_number": "281-674-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SU FONG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "281-647-6687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "22550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 6, 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.

Verify at the official NPI Registry.